ST JOSEPH MERCY HOSPITAL (NPI# 1508985045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508985045 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL |
| Practice Address |
111 N Huron Street Suite D225 Ypsilanti MI 48197-1051 |
| Mailing Address |
34505 W 12 Mile Rd Ste 200 Farmington Hills MI 48331-3286 |
| Practice Telephone | 7347123456 |
| Mailing Telephone | 7343433922 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MICHAEL P GUSHO (CFO SE MI REGION) |
| Authorized Official Telephone | 2488586174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BS BCN NHCC | 110H163980 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432309 | St Joseph Mercy Hospital | Clinic/Center | 7025 E Michigan Ave, Saline, MI 48176-9479 | 2014-02-07 |
| 1174720080 | St Joseph Mercy Hospital | Rehabilitation, Substance Use Disorder Unit | 5401 Mcauley Drive, Ypsilanti, MI 48197-1011 | 2007-07-03 |
| 1588870984 | St Joseph Mercy Hospital | Psychologist | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2007-05-15 |
| 1063517472 | St Joseph Mercy Hospital | General Acute Care Hospital | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2006-09-13 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| Street Address |
111 N HURON STREET SUITE D225 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336599174 | Thuy An Orlando | Family Medicine | 1065 N Huron River Dr Ste 100, Ypsilanti, MI 48197-3296 | 2016-06-13 |
| 1598197600 | My Visiting Doctor | Family Medicine | 850 S Hewitt Rd # 20, Ypsilanti, MI 48197-4594 | 2013-07-31 |
| 1477884237 | Robert J. Fisher | Family Medicine | 550 Cliffs Dr, #301c, Ypsilanti, MI 48198-7340 | 2010-01-19 |
| 1083852917 | Martha O. Kershaw | Family Medicine | 103 Arnet St., Hope Medical Clinic, Ypsilanti, MI 48198 | 2009-01-30 |
| 1164510574 | Brooks Lyon & Brooks Do PC | Family Medicine | 309 Ecorse Rd, Ypsilanti, MI 48198-5733 | 2006-10-11 |
| 1033201926 | Christine Theresa Cigolle | Family Medicine | 200 Arnett St, Suite 200, Ypsilanti, MI 48198-5753 | 2006-09-28 |
| 1730112947 | Stuart William Bilyeu | Family Medicine | 200 Arnet St Ste 170, Ypsilanti, MI 48198-5753 | 2006-07-09 |
| 1386624591 | Jaclyn Randel | Family Medicine | 5333 Mcauley Dr Rm 5011, Ypsilanti, MI 48197-1003 | 2006-01-23 |
| 1649790346 | Jonathan G Gabison | Family Medicine | 200 Arnet St, Ypsilanti, MI 48198-5753 | 2017-06-23 |
| 1629598321 | Steven T. Korycinski | Family Medicine | 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197-0860 | 2017-06-23 |
| Find all providers in YPSILANTI | ||||
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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.