ST JOSEPH MERCY HOSPITAL (NPI# 1073029211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073029211 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL |
| Other Organization Name | ST JOSEPH MERCY CANTON CANCER CENTER |
| Practice Address |
1600 S Canton Center Rd Canton MI 48188-1992 |
| Mailing Address |
34505 W 12 Mile Rd Farmington Hills MI 48331-3258 |
| Practice Telephone | 7343988712 |
| Mailing Telephone | 7343433922 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Authorized Official Name | MICHAEL GUSHO (SE MI REGIONAL CFO) |
| Authorized Official Telephone | 7343980642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St Joseph Mercy Canton Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432309 | St Joseph Mercy Hospital | Clinic/Center | 7025 E Michigan Ave, Saline, MI 48176-9479 | 2014-02-07 |
| 1174720080 | St Joseph Mercy Hospital | Rehabilitation, Substance Use Disorder Unit | 5401 Mcauley Drive, Ypsilanti, MI 48197-1011 | 2007-07-03 |
| 1588870984 | St Joseph Mercy Hospital | Psychologist | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2007-05-15 |
| 1508985045 | St Joseph Mercy Hospital | Family Medicine | 111 N Huron Street, Suite D225, Ypsilanti, MI 48197-1051 | 2007-03-28 |
| 1063517472 | St Joseph Mercy Hospital | General Acute Care Hospital | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2006-09-13 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Street Address |
1600 S CANTON CENTER RD |
| City | CANTON |
| State | MI |
| Zip Code | 48188-1992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053314948 | David Howard Seaman | Specialist | 1600 S Canton Center Rd, Ste 360, Canton, MI 48188-0004 | 2005-05-24 |
| 1750839882 | Ronald P Adelman Dpm Pllc | Podiatrist | 1600 S Canton Center Rd, #2200, Canton, MI 48188-1992 | 2016-09-19 |
| 1275984239 | Farnaz Adibi | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2016-06-30 |
| 1982051215 | Iha Health Services Corporation | Pediatrics | 1600 S Canton Center Rd, Suite 200, Canton, MI 48188-1992 | 2016-05-17 |
| 1659760361 | Diabetes, Thyroid & Endocrinology Clinic Pllc | Internal Medicine | 1600 S Canton Center Rd, Suite 2200, Canton, MI 48188-1992 | 2015-01-19 |
| 1831533686 | Todd Rojaih Mcherron Jr. | Student in an Organized Health Care Education/Training Program | 1600 S Canton Center Rd, Suite 220, Canton, MI 48188-1992 | 2013-04-24 |
| 1619239043 | Dhwani Patel | Physician Assistant | 1600 S Canton Center Rd, Suite 140, Canton, MI 48188-1992 | 2012-06-12 |
| 1417245515 | Raza Ali | Family Medicine | 1600 S Canton Center Rd, Suite 1200, Canton, MI 48188-1992 | 2011-07-11 |
| 1194011320 | Nicole Rose Knisley | Physician Assistant | 1600 S Canton Center Rd, #140, Canton, MI 48188-1992 | 2011-06-27 |
| 1750670204 | St Joseph Mercy Hospital | Emergency Medicine | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2011-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326531005 | Infusion Partners, LLC | Clinic/Center | 4324 Dressler Rd Nw, Canton, OH 44718-2752 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962417 | Millennial Infusion Centers Inc | Clinic/Center | 26250 Northwestern Hwy Ste 201, Southfield, MI 48076 | 2018-11-27 |
| 1194053082 | Infusion Partners of Michigan | Clinic/Center | 1024 Professional Dr, Flint, MI 48532-3635 | 2009-12-03 |
| 1750310587 | Coram Alternate Site Services, Inc. | Clinic/Center | 4915 Contec Dr, Lansing, MI 48910-7101 | 2006-07-02 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1255807178 | Metropolitan Hospital | Clinic/Center | 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606 | 2018-10-18 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1144735184 | St Joseph Mercy Hospital-smhc | Clinic/Center | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-12-13 |
| 1023523065 | Trinity Health - Michigan | Clinic/Center | 775 S Main St, Chelsea, MI 48118-1383 | 2017-12-13 |
| 1174038111 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2017-12-13 |
| 1154836195 | St Mary Mercy Hospital | Clinic/Center | 36475 Five Mile Rd, Livonia, MI 48154-1971 | 2017-12-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.