SAINT JOSEPH MERCY LIVINGSTON HOSPITAL (NPI# 1497874531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497874531 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| Practice Address |
7575 Grand River Urg Care Brighton MI 48114 |
| Mailing Address |
5301 E Huron River Dr Po Box 993, Mc 69504 Ypsilanti MI 48197-1051 |
| Practice Telephone | 8108447511 |
| Mailing Telephone | 7347123456 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2012-07-18 |
| Authorized Official Name | GARRY FAJA (PRESIDENT CEO) |
| Authorized Official Telephone | 7347123791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BS BCN UC | 010D760070 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457834657 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-13 |
| 1174038111 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2017-12-13 |
| 1306059811 | Saint Joseph Mercy Livingston Hospital | Psychologist | 2300 Genoa Business Park Dr, Suite 180, Brighton, MI 48114-7367 | 2007-05-08 |
| 1649399684 | Saint Joseph Mercy Livingston Hospital | Physician Assistant | 7575 Grand River, Urg Care, Brighton, MI 48114 | 2007-03-29 |
| 1922127976 | Saint Joseph Mercy Livingston Hospital | Nurse Anesthetist, Certified Registered | 620 Byron Rd, Howell, MI 48843-1002 | 2007-03-29 |
| 1912026964 | Saint Joseph Mercy Livingston Hospital | Nurse Anesthetist, Certified Registered | 7575 Grand River Rd, Amb Sur, Brighton, MI 48114-9309 | 2007-03-29 |
| 1285753236 | Saint Joseph Mercy Livingston Hospital | Family Medicine | 7575 Grand River, Brighton Urgent Care, Brighton, MI 48114-9309 | 2007-03-29 |
| 1730208778 | Saint Joseph Mercy Livingston Hospital | Family Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2007-03-29 |
| 1174642672 | Saint Joseph Mercy Livingston Hospital | Psychiatry & Neurology | 7960 W. Grand River, Suite 110, Brighton, MI 48116-6541 | 2007-03-28 |
| 1356460323 | Saint Joseph Mercy Livingston Hospital | Pediatrics | 620 Byron Rd, Pediatrics, Howell, MI 48843 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL | 620 Byron Rd, Howell, MI 48843-1002 |
| Street Address |
7575 GRAND RIVER URG CARE |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467807735 | Abhilash Kotte | Student in an Organized Health Care Education/Training Program | 7575 Grand River, 209, Brighton, MI 48114 | 2016-04-25 |
| 1649399684 | Saint Joseph Mercy Livingston Hospital | Physician Assistant | 7575 Grand River, Urg Care, Brighton, MI 48114 | 2007-03-29 |
| 1285753236 | Saint Joseph Mercy Livingston Hospital | Family Medicine | 7575 Grand River, Brighton Urgent Care, Brighton, MI 48114-9309 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| Find all providers in zip 48114 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722822 | Natalie Miranda | Physician Assistant | 35 Henshaw St, Brighton, MA 02135-2927 | 2020-08-31 |
| 1235741067 | Karin Sampaio | Physician Assistant | 5155 Golden Eagle Pkwy, Brighton, CO 80601-8735 | 2020-08-22 |
| 1669090585 | Michael Joseph Core | Physician Assistant | 1626 Commonwealth Ave Apt 11, Brighton, MA 02135-5027 | 2020-07-07 |
| 1609434745 | Robert Connell | Physician Assistant | 36 Orkney Rd Apt 2, Brighton, MA 02135-7712 | 2019-06-04 |
| 1427533603 | John Peter Halfen Iv | Physician Assistant | 2801 Purcell St # 1, Brighton, CO 80601-3551 | 2018-10-03 |
| 1659856805 | Kelly Brianne Armstrong | Physician Assistant | 7500 Challis Rd Fl 2, Brighton, MI 48116-9416 | 2018-10-03 |
| 1538675418 | Karen K Minchow | Physician Assistant | 12000 E Big Cottonwood Canyon Rd, Brighton, UT 84121-9710 | 2017-12-14 |
| 1174068134 | Sarah Kolchinsky | Physician Assistant | 23 Egremont Rd, Apt #4, Brighton, MA 02135-7329 | 2016-12-30 |
| 1669855979 | Michelle Cummings | Physician Assistant | 1945 Commonwealth Ave, #32, Brighton, MA 02135-5963 | 2015-07-06 |
| 1891196895 | Steven Barrett | Physician Assistant | 8718 N Christine Dr, Brighton, MI 48114-4911 | 2014-09-09 |
| Find all providers in BRIGHTON | ||||
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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.