ST JOHN PROVIDENCE PARTNERS IN CARE (NPI# 1366702755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366702755 |
| Entity Type | Organization |
| Organization Name | ST JOHN PROVIDENCE PARTNERS IN CARE |
| Practice Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 5867530930 |
| Practice Fax Number | 5867530931 |
| Mailing Telephone | 5867530930 |
| Mailing Fax Number | 5867530931 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | MARGARET E ENDRES (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 5867530937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
MI | Ambulatory Health Care Facilities |
| Street Address |
28000 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206168 | Lily Ann Marie Tencza | Psychiatry & Neurology | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2006-07-15 |
| 1598255788 | Vicki Sharma | Student in an Organized Health Care Education/Training Program | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2018-05-14 |
| 1477967446 | St. John Providence Health System | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2014-06-17 |
| 1235487257 | Allison Whiteside | Specialist/Technologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-08-23 |
| 1588924971 | Carolyn Ann Hill | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1063772465 | Ruth Anne Didonato | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1477813715 | Linda A Caldwell | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1972879237 | Burton David Gottlieb | Social Worker | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-03-30 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| 1760708945 | St John Hospital and Medical Center | Audiologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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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.