SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN (NPI# 1316350192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316350192 |
| Entity Type | Organization |
| Organization Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Other Organization Name | ST. JOHN EASTSIDE URGENT CARE |
| Practice Address |
21000 E 12 Mile Rd Suite 105 Saint Clair Shores MI 48081-1116 |
| Mailing Address |
2800 Livernois Rd Suite 500 Troy MI 48083-1215 |
| Practice Telephone | 5864983606 |
| Practice Fax Number | 5864983601 |
| Mailing Telephone | 2486808000 |
| Mailing Fax Number | 2486808030 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2015-10-29 |
| Authorized Official Name | KIM ANN LEBETZ (DIRECTOR) |
| Authorized Official Telephone | 2486808091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| St. John Eastside Urgent Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194248989 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 1225 S Latson Rd Ste 130, Howell, MI 48843-7658 | 2017-07-24 |
| 1003281072 | Seton Health Corporation of Southeastern Michigan | Family Medicine | 955 Fred Moore Hwy, St Clair, MI 48079-4963 | 2015-12-02 |
| 1801209978 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 | 2014-06-06 |
| 1528585130 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 27483 Dequindre Rd, Madison Heights, MI 48071-3491 | 2017-08-24 |
| 1790208528 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd Ste 101, Macomb, MI 48044-1161 | 2017-07-24 |
| 1518331131 | Seton Health Corporation of Southeastern Michigan | Emergency Medicine | 10127 Marine City Hwy, Ira, MI 48023-1009 | 2015-11-19 |
| 1487067260 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 17900 23 Mile Rd, Suite 401, Macomb, MI 48044-1161 | 2014-06-09 |
| 1669885521 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 4777 E Outer Dr, Urgent Care Department, Detroit, MI 48234-3241 | 2014-06-09 |
| 1578976437 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 5575 Conner St, Detroit, MI 48213-6400 | 2014-06-09 |
| 1598177065 | Seton Health Corporation of Southeastern Michigan | Internal Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2014-06-02 |
| Street Address |
21000 E 12 MILE RD SUITE 105 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330486 | Jennifer Kay Appleyard | Allergy & Immunology | 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 | 2005-07-19 |
| 1881203479 | Andrew Michael Keltz | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2020-07-29 |
| 1770120230 | Holly Ann Reckers | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-12-04 |
| 1578037966 | Maria Juliana Codino | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-01-18 |
| 1942779921 | Maria D Samsa | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2018-11-19 |
| 1801331210 | Katja N Tandarich | Nurse Practitioner | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2016-12-21 |
| 1053854133 | Jean P. Skeffington | Speech-Language Pathologist | 21000 E 12 Mile Rd, Suite111, Saint Clair Shores, MI 48081-1116 | 2016-11-22 |
| 1134588254 | Alyssa Domenica Baker | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2016-02-17 |
| 1720404775 | Sean Anthony Cassleman | Internal Medicine | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2014-03-14 |
| 1063854941 | Medical Resource Group | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891098174 | Saint Clair Shores Prompt Care Pllc | Clinic/Center | 25631 Little Mack Avenue, Suite 104, Saint Clair Shores, MI 48081-2100 | 2010-12-08 |
| 1508410168 | Associated Orthopedists of Detroit PC | Clinic/Center | 24715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080-3207 | 2019-07-31 |
| 1063854941 | Medical Resource Group | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-22 |
| 1821120551 | St John Regional Medical Urgent Care | Clinic/Center | 21000 E 12 Mile Rd, Ste 102, Saint Clair Shores, MI 48081-1116 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449719 | Medical Care One Plc | Clinic/Center | 2539 Ellsworth Rd, Ypsilanti, MI 48197-5619 | 2020-05-19 |
| 1326660929 | Doctors Urgent Care Southfield | Clinic/Center | 29405 Greenfield Rd, Southfield, MI 48076-2226 | 2020-05-18 |
| 1538704218 | West Park Medical Clinic PC | Clinic/Center | 16238 W Warren Ave, Detroit, MI 48228-3701 | 2019-11-17 |
| 1225679822 | The Urgent Care PC | Clinic/Center | 170 W Genesee St Ste B, Frankenmuth, MI 48734-1305 | 2019-10-04 |
| 1508417197 | Vps of Mi Pllc | Clinic/Center | 25880 Outer Dr Ste 1, Lincoln Park, MI 48146-1553 | 2019-09-25 |
| 1356804710 | Southshore Urgent Care Pllc. | Clinic/Center | 20789 Gibraltar Rd, Brownstown Twp, MI 48183-5087 | 2019-04-11 |
| 1871054650 | Warren Urgent Care Walk-in Clinic LLC | Clinic/Center | 30736 Hoover Rd, Warren, MI 48093-2555 | 2019-03-26 |
| 1821553587 | Medpointe Urgent Care Walk In Clinic PC | Clinic/Center | 31290 Groesbeck Hwy, Fraser, MI 48026-2517 | 2019-02-07 |
| 1174088066 | Kb Care, Pllc | Clinic/Center | 4563 Washtenaw Ave Ste B, Ann Arbor, MI 48108-1011 | 2019-02-05 |
| 1700340569 | Nuch of Michigan, Inc. | Clinic/Center | 20782 Thirteen Mile Road, Roseville, MI 48375 | 2019-01-25 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN.
| 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.