ASCENSION MACOMB OAKLAND HOSPITAL (NPI# 1356775001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356775001 |
| Entity Type | Organization |
| Organization Name | ASCENSION MACOMB OAKLAND HOSPITAL |
| Other Organization Name | ST JOHN OAKLAND CENTER |
| Practice Address |
27351 Dequindre Rd Madison Heights MI 48071-3487 |
| Practice Telephone | 2489677000 |
| Mailing Telephone | 2489677000 |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2018-12-04 |
| Authorized Official Name | SARAH STARKEL (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2486808121 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST JOHN MACOMB HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ST JOHN OAKLAND CENTER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548609761 | Ascension Macomb Oakland Hospital | Social Worker | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2013-06-20 |
| 1720390453 | Ascension Macomb Oakland Hospital | Internal Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2010-07-10 |
| 1083872923 | Ascension Macomb Oakland Hospital | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2008-05-28 |
| 1518124320 | Ascension Macomb Oakland Hospital | Internal Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2008-05-20 |
| 1871793505 | Ascension Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-07-20 |
| 1427251420 | Ascension Macomb Oakland Hospital | Psychiatric Unit | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-07 |
| 1215139233 | Ascension Macomb Oakland Hospital | General Acute Care Hospital | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-01 |
| 1578696092 | Ascension Macomb Oakland Hospital | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2007-03-13 |
| 1114962461 | Ascension Macomb Oakland Hospital | Neurological Surgery | 27450 Schoenherr Rd, Suite 200, Warren, MI 48088-6683 | 2006-06-19 |
| 1396789434 | Ascension Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2006-06-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASCENSION MACOMB OAKLAND HOSPITAL | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Street Address |
27351 DEQUINDRE RD |
| City | MADISON HEIGHTS |
| State | MI |
| Zip Code | 48071-3487 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126996 | J Barry Rubin | Psychiatry & Neurology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2005-09-28 |
| 1134743206 | Ani Mnatsakanian | Otolaryngology | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-03 |
| 1669096111 | Jacob Alexander Martin Novack | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-06-01 |
| 1205459971 | Brentwood Oftedal | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-28 |
| 1700409703 | Noorel Zia | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-26 |
| 1790308047 | Nora Rader | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-21 |
| 1861014680 | Kevin Conor Kenney | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-14 |
| 1750902409 | Dean Balabanov | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1437770161 | Charles Rodarmor | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-05-05 |
| 1194346106 | Elvin Chiang | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918831 | United Medical Laboratory LLC | Clinical Medical Laboratory | 30675 Stephenson Hwy, Suite B, Madison Heights, MI 48071 | 2020-09-25 |
| 1033776372 | Terry Ky-sieu Tran | Student in an Organized Health Care Education/Training Program | 27351 Dequindre Rd., Madison Height, MI 48071 | 2019-05-22 |
| 1942865894 | Jordan Lee Stav | Student in an Organized Health Care Education/Training Program | Sjmo Emergency Medicine Residency Program, 27351 Dequindre Rd, Madison Heights, MI 48071 | 2019-05-07 |
| 1538624960 | Holistic Therapy Institute Physical Therapy, Inc. | Physical Therapist | 30201 Dequidre Rd Suite1, Madison Hts, MI 48071 | 2019-02-11 |
| 1720558216 | Kevin Luce | Physical Therapy Assistant | 1433 E 12 Mile Road, Madison Heights, MI 48071 | 2018-11-28 |
| 1861974297 | Olubunmi Oluremi Aluko | Physical Therapist | 1410 E.14 Mile Road, Madison Heights, MI 48071 | 2018-09-01 |
| 1558859579 | Leslie G Lafer, Dopllc | Obstetrics & Gynecology | 1437 E 12 Mile Road, Building D, Madison Heights, MI 48071 | 2018-04-25 |
| 1588161020 | Daniel Eugene Geer | Physical Therapist | 1410 E 14 Mile Road, Madison Heights, MI 48071 | 2018-04-11 |
| 1881100931 | Medshop Pharmacy LLC | Pharmacy | 30549 Stephenson Hwy Ste B, Madison Heights, MI 48071 | 2017-12-26 |
| 1730602004 | Ali Bazzy | Nurse Practitioner | 27483 Dequindre Suite 304, Madison Hgts, MI 48071 | 2017-07-19 |
| Find all providers in zip 48071 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821139213 | Madison Cardiology PC | Internal Medicine | 610 East 12 Mile Road, Madison Heights, MI 48071 | 2007-02-09 |
| 1821155664 | Oakland Medical Group PC | Internal Medicine | 27301 Dequindre Rd, Suite 210, Madison Heights, MI 48071-3473 | 2007-01-02 |
| 1730262106 | Oakland Medical Group PC | Internal Medicine | 27483 Dequindre Rd, 210, Madison Heights, MI 48071-3491 | 2006-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1538785415 | Lakes Cardiology PC | Internal Medicine | 9640 Commerce Rd Ste 106, Commerce Twp, MI 48382-4167 | 2020-06-17 |
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1265803316 | Alpine Cardiology, Pllc | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | 2015-10-15 |
| Find all providers with the same taxonomy | ||||
| City | MADISON HEIGHTS |
| Zip Code | 48071 |
Please comment or provide details below to improve the information on ASCENSION MACOMB OAKLAND HOSPITAL.
| 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.