ST MARY MERCY PHYSICIAN PRACTICES (NPI# 1225306392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225306392 |
| Entity Type | Organization |
| Organization Name | ST MARY MERCY PHYSICIAN PRACTICES |
| Other Organization Name | ST MARY MERCY ONCOLOGY PRACTICE |
| Practice Address |
14555 Levan Rd Suite 112 Livonia MI 48154-5083 |
| Mailing Address |
20555 Victor Pkwy Se Mi Shared Services W3d Livonia MI 48152-7031 |
| Practice Telephone | 7347792123 |
| Practice Fax Number | 7347792163 |
| Mailing Telephone | 7343430282 |
| Mailing Fax Number | 2483804445 |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2015-11-03 |
| Authorized Official Name | DAVID SPIVEY (PRESIDENT / CEO) |
| Authorized Official Telephone | 7346551610 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST MARY MERCY PHYSICIAN PRACTICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE SHIELD PIN | 0H27566 | 01 |
| Other Name | Type Code |
|---|---|
| St Mary Mercy Oncology Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801303086 | St Mary Mercy Physician Practices | Family Medicine | 5555 Conner St Ste 2691, Detroit, MI 48213-3812 | 2018-01-09 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1043877053 | St Mary Mercy Physician Practices | Psychologist | 37595 7 Mile Rd Ste 230, Livonia, MI 48152-1003 | 2019-05-24 |
| 1568942845 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Rm 140, Livonia, MI 48152-1079 | 2018-08-16 |
| 1568630077 | St Mary Mercy Physician Practices | Clinic/Center | 36475 5 Mile Rd, Livonia, MI 48154-1971 | 2008-02-19 |
| Street Address |
14555 LEVAN RD SUITE 112 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862707 | Allen S Mehler | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-06-22 |
| 1861931693 | Natalie Eve Khoury | Physician Assistant | 14555 Levan Rd, Suite 116, Livonia, MI 48154-5083 | 2017-02-13 |
| 1013365097 | Virtue Lung Institute PC | Clinic/Center | 14555 Levan Rd, Ste 309, Livonia, MI 48154-5083 | 2016-05-31 |
| 1376998682 | Kristina Lynn Benford | Nurse Practitioner | 14555 Levan Rd, Suite 113, Livonia, MI 48154-5083 | 2016-04-25 |
| 1134583552 | University Neurosurgical Associates, PC | Neurological Surgery | 14555 Levan Rd, Ste. 202, Livonia, MI 48154-5083 | 2016-04-12 |
| 1477929255 | Natalie Lois Crook | Registered Nurse | 14555 Levan Rd, Suite 311, Livonia, MI 48154-5083 | 2015-08-17 |
| 1831538545 | Michigan Surgery Specialists, P.C. | Hearing Aid Equipment | 14555 Levan Rd, Suite 303, Livonia, MI 48154-5083 | 2013-06-17 |
| 1942574058 | Mendelson Orthopedic Physical Therapy | Physical Therapist | 14555 Levan Rd, Suite 215, Livonia, MI 48154-5083 | 2012-03-07 |
| 1942517511 | Sarah Shamoon | Physical Therapist | 14555 Levan Rd, Livonia, MI 48154-5083 | 2010-09-02 |
| 1841516150 | Holly Jean Favero | Nurse Practitioner | 14555 Levan Rd, Suite E-412, Livonia, MI 48154-5083 | 2010-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215119672 | Hope Cancer Clinic Pllc | Clinic/Center | 14555 Levan Rd Ste 110, Livonia, MI 48154-5083 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366532590 | Dearborn Oncology Associates PC | Clinic/Center | 233 Chestnut Cir, Bloomfield Hills, MI 48304-2105 | 2006-10-16 |
| 1902329501 | Academic Hematology Oncology, PC | Clinic/Center | 23850 Van Born Rd, Dearborn Heights, MI 48125-2325 | 2017-07-25 |
| 1558741819 | Vicinitas Michigan, Inc. | Clinic/Center | 30600 Telegraph Rd, Suite 2345, Bingham Farms, MI 48025-4530 | 2015-06-02 |
| 1750650008 | Veterans Affairs Ann Arbor Healthcare System | Clinic/Center | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2011-12-15 |
| 1295011138 | Henry Ford Medical Center Columbus | Clinic/Center | 39450 W 12 Mile Rd, Novi, MI 48377-3600 | 2011-10-24 |
| 1225321045 | Lakeland Medical Practices | Clinic/Center | 3950 Hollywood Rd, Suite 240, Saint Joseph, MI 49085-9159 | 2011-05-26 |
| 1134459662 | Parvez Khan Md,pc | Clinic/Center | 861 Monroe St, Dearborn, MI 48124-2308 | 2010-01-06 |
| 1972734317 | Martin I. Schock, Md PC | Clinic/Center | 31700 Van Dyke Ave, Suite 110, Warren, MI 48093-7949 | 2009-08-03 |
| 1326239849 | Amnuay Singhakowinta Md PC | Clinic/Center | 785 N Lapeer Rd, Lake Orion, MI 48362-4012 | 2007-08-08 |
| 1720118243 | Southwest Michigan Oncology Associates Pllc | Clinic/Center | 300 North Avenue, Battle Creek, MI 49017 | 2007-03-06 |
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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.