ASCENSION MEDICAL GROUP (NPI# 1306002704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306002704 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP |
| Practice Address |
11012 E 13 Mile Rd Suite 212 Warren MI 48093-2572 |
| Practice Telephone | 5865827150 |
| Practice Fax Number | 5865827164 |
| Mailing Telephone | 5865827150 |
| Mailing Fax Number | 5865827164 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | MARTHA JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 2486808004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MI | Allopathic & Osteopathic Physicians | |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MI | Allopathic & Osteopathic Physicians | |
| Y | 207V00000X | Obstetrics & Gynecology | MI | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | ASCENSION MEDICAL GROUP LLC | 700 N Hayden Island Dr Ste 100, Portland, OR 97217 |
| System for Award Management (SAM) Entities | ASCENSION MEDICAL GROUP ST. VINCENT | 250 W 96th St Ste 520, Indianapolis, IN 46260-1317 |
| Street Address |
11012 E 13 MILE RD SUITE 212 |
| City | WARREN |
| State | MI |
| Zip Code | 48093-2572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801896519 | Edward F Burke | Orthopaedic Surgery | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2572 | 2005-07-22 |
| 1184086118 | Elizabeth Cogswell | Orthotist | 11012 E 13 Mile Rd, Ste 210, Warren, MI 48093-2572 | 2016-03-29 |
| 1013376763 | Kamila Anna Malinowska | Obstetrics & Gynecology | 11012 E 13 Mile Rd, Warren, MI 48093-2572 | 2016-02-22 |
| 1760856629 | Sairah Safdar | Occupational Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2015-11-16 |
| 1710322045 | Amy Katherine Doepker | Physical Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2013-04-30 |
| 1639420458 | Caitlin N Lukasik | Occupational Therapist | 11012 E 13 Mile Rd, Ste. 200, Warren, MI 48093-2572 | 2012-09-20 |
| 1437450020 | Francine Ivey | Physical Therapist | 11012 E 13 Mile Rd, Suite 200, Warren, MI 48093-2572 | 2010-11-12 |
| 1851539498 | Southfield Rehabilitation Company | General Acute Care Hospital | 11012 E 13 Mile Rd, Suite 111, Warren, MI 48093-2572 | 2009-02-04 |
| 1528206562 | Southfield Rehabilition Company | Clinic/Center | 11012 E 13 Mile Rd, Suite 112a, Warren, MI 48093-2572 | 2009-01-29 |
| 1245480581 | Zena G Yousif | Surgery | 11012 E 13 Mile Rd, Suite 112, Warren, MI 48093-2572 | 2008-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205273315 | Dina Kassab | Obstetrics & Gynecology | 11885 E 12 Mile Rd Ste 202a, Warren, MI 48093-3469 | 2013-05-30 |
| 1427385954 | Bhanu J. Shah Md PC | Obstetrics & Gynecology | 29175 Ryan Rd, Warren, MI 48092-4243 | 2009-11-04 |
| 1790942993 | Sawsan Wadi Jamil | Obstetrics & Gynecology | 11012 E 13 Mile Rd Ste 212, Warren, MI 48093-2547 | 2008-05-16 |
| 1689855058 | Amine R Abdul-aal | Obstetrics & Gynecology | 200 Garfield Dr Ne, Suite 1, Warren, OH 44483-5557 | 2007-11-14 |
| 1790991909 | Jennifer Marie Nowasielski | Obstetrics & Gynecology | 30117 Schoenherr Rd Ste 400, Warren, MI 48088-6854 | 2007-05-15 |
| 1427264902 | Jacquelyn Nicole Rodriguez | Obstetrics & Gynecology | 11012 E 13 Mile Rd, Ste # 212, Warren, MI 48093-2572 | 2007-05-14 |
| 1477647501 | Adagio Health Inc. | Obstetrics & Gynecology | 306 Hazel St, Warren, PA 16365-4920 | 2006-10-03 |
| 1861587321 | Cortland Obgyn Associates Inc | Obstetrics & Gynecology | 200 Garfield Dr, Suite A, Warren, OH 44483 | 2006-10-03 |
| 1790793941 | Meiuttenun Chong Marie Brown | Obstetrics & Gynecology | 8200 Old 13 Mile Rd, Suite 106, Warren, MI 48093-2171 | 2006-08-04 |
| 1588671648 | Gerard Joseph Pregenzer | Obstetrics & Gynecology | 65 Mountain Blvd Ext Suite 201, Womens Health Care of Warren, Warren, NJ 07059 | 2006-08-02 |
| Find all providers in WARREN | ||||
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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.