DETROIT MEDICAL CENTRE (NPI# 1083804173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083804173 |
| Entity Type | Organization |
| Organization Name | DETROIT MEDICAL CENTRE |
| Practice Address |
4201 St. Antoine Detroit MI 48210 |
| Mailing Address |
35841 Woodington Sq Apt No 104 Farmington Hills MI 48335 |
| Practice Telephone | 3138228888 |
| Mailing Telephone | 9043164910 |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |
| Authorized Official Name | DEBI KELLOGG (CORPORATE DIR., GME ADMIN. SERVICES) |
| Authorized Official Telephone | 3138228888 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 43010902550 | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215177019 | Detroit Medical Centre | General Acute Care Hospital | 5000 Heather Drive, Dearborn, MI 48216 | 2009-03-06 |
| Street Address |
4201 ST. ANTOINE |
| City | DETROIT |
| State | MI |
| Zip Code | 48210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659320737 | Bibban B. Deol | Internal Medicine | 4201 St. Antoine, Suite 5b, Detroit, MI 48201-2153 | 2006-05-08 |
| 1396368304 | Jiping Zhou | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, University Health Center - 8c, Detroit, MI 48201 | 2020-05-26 |
| 1669095857 | Tammy Hsia | Emergency Medicine | 4201 St. Antoine, Rm 6g-uhc, Detroit, MI 48201-4820 | 2020-05-21 |
| 1902428485 | Roberto Martin Veloso | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 | 2020-05-07 |
| 1225659089 | Oluwatofehinti Oluwalademi Akande | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Room 2e-uhc, Detroit, MI 48201 | 2020-05-04 |
| 1952922882 | Angela Kalia | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, 9c-umc Graduate Medical Education, Detroit, MI 48201 | 2020-05-01 |
| 1841811072 | Junaid Hashim | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-28 |
| 1922628668 | Brianna Chu | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-23 |
| 1275153835 | Sarah E Ottum | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc 9c, Detroit, MI 48201 | 2020-04-23 |
| 1497375166 | Tara Maher Elia | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine, Uhc-9c, Detroit, MI 48201 | 2020-04-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517606 | Southwest Solutions | Counselor | 5716 Michigan, Detroit, MI 48210 | 2019-09-19 |
| 1942676150 | Audrey Hall | Case Manager/Care Coordinator | 6576 Woodrow St, Detroit, MI 48210 | 2015-08-12 |
| 1952705147 | Barbara Denise Mccowin-west | Technician, Other | 6900 Mcgraw, Detroit, MI 48210 | 2014-10-16 |
| 1922259456 | Dawn Marie Sanderson | Counselor | 5613 Livernois, Detroit, MI 48210 | 2008-10-02 |
| 1366552804 | American Indian Health and Family Services of Southeastern Mi Inc | In Home Supportive Care | 4880 Lawndalestreet, Detroit, MI 48210 | 2006-08-30 |
| 1912950163 | Irwin Rabinowitz | Pharmacist | Junction Clinic Pharmacy 4771 Michigan Ave., Detroit, MI 48210 | 2006-05-18 |
| 1295229110 | Anne Marie Galus | Dentist | 5716 Michigan Ave, Detroit, MI 48210 | 2018-06-15 |
| 1124547948 | Sarah Fay Walsworth | Physician Assistant | 5716 Michigan Ave, Detroit, MI 48210 | 2017-09-13 |
| 1538305909 | Barbara Ann Menzies-williams | Internal Medicine | 6550 W Warren Ave, Detroit, MI 48210 | 2009-01-06 |
| 1760678437 | Clement T Piaskowski | Optometrist | 7433 Michigan Ave, Detroit, MI 48210 | 2007-09-17 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
| 1043551146 | Detroit Medical Center | General Acute Care Hospital | 3990 John R Rd, Detroit, MI 48201 | 2013-03-14 |
| 1346511151 | Sara Goldgraben | General Acute Care Hospital | 540 E. Canfield, Department of Radiation Oncology, Detroit, MI 48201 | 2012-01-25 |
| 1174837686 | Detroit Medical Center | General Acute Care Hospital | 4201 St. Antoine- 6g Uhc, 6g Uhc, Detroit, MI 48201 | 2010-07-27 |
| 1922239920 | Wayne State University/detroit Medical Center | General Acute Care Hospital | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2009-08-07 |
| 1710134010 | Tetsuhiro Higashida | General Acute Care Hospital | 4201 St. Antoine Suite 6e, Detroit, MI 48201 | 2008-08-19 |
| 1487792818 | Detroit Hope Hospital | General Acute Care Hospital | 801 Virgina Park, Detroit, MI 48202 | 2007-02-01 |
| 1134266687 | Detroit Hope Hospital | General Acute Care Hospital | 801 Virginia Park, Detroit, MI 48202 | 2007-01-31 |
| 1669400305 | Ltac Hospital Detroit, LLC | General Acute Care Hospital | 801 Virginia Park St, Third Floor, Detroit, MI 48202-1925 | 2006-06-29 |
| 1043755788 | Barbara Ann Karmanos Cancer Center | General Acute Care Hospital | 4100 John R St, Detroit, MI 48201-2013 | 2017-01-05 |
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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.