CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER (NPI# 1558519827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558519827 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF MICHIGAN, DETROIT MEDICAL CENTER |
| Practice Address |
3901 Beaubien St Children's Hospital of Michigan Detroit MI 48201-2119 |
| Mailing Address |
4500 Cass Ave Apartment No. 617, University Towers Detroit MI 48201-1288 |
| Practice Telephone | 3137455638 |
| Mailing Telephone | 3137150162 |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |
| Authorized Official Name | DR. ANNE M. MORTENSEN (DIRECTOR, PEDIATRIC RESIDENCY) |
| Authorized Official Telephone | 3139660254 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
4301092198 | MI | Hospitals |
| Street Address |
3901 BEAUBIEN ST CHILDREN'S HOSPITAL OF MICHIGAN |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151238 | Mark Campbell | Nurse Anesthetist, Certified Registered | 3901 Beaubien St, Detroit, MI 48201-2119 | 2005-08-18 |
| 1164037735 | Mamdouh Dakhel A Alahmadi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-09-10 |
| 1801407119 | Samantha Mulkiten | Nurse Practitioner | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-08-11 |
| 1346864550 | Mariane Tomiyoshi Asato | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-06-03 |
| 1629691613 | Abigail Marie Troy | Pediatrics | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-05-25 |
| 1235750373 | Katherine Marie Obudzinski | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2196 | 2020-04-29 |
| 1548880073 | Sara Mercedes Evans | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1619597069 | Zahur Fatima Sallman | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-24 |
| 1154941706 | Saira Tariq | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| 1063032688 | Michael Allen Finkel | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St, Detroit, MI 48201-2119 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
| Find all providers in zip 48201 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447616354 | Childrens Hospital of Michigan | General Acute Care Hospital | 16197 Ohio St, Detroit, MI 48221-2953 | 2016-01-07 |
| 1508010760 | Children Hosptial of Michigan | General Acute Care Hospital | 3737 Beaubien St Apt 805, Detroit, MI 48201-2152 | 2008-11-13 |
| 1700241072 | Children's Hospital of Michigan | General Acute Care Hospital | 4201 Saint Antoine St, University Health Center, Suite 4b, Detroit, MI 48201-2153 | 2015-12-30 |
| 1518216787 | Children's Hospital of Michigan | General Acute Care Hospital | 3901 Beaubien, Detroit, MI 48201 | 2012-09-04 |
| 1144477035 | Dmc | General Acute Care Hospital | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-08-21 |
| 1659538106 | The Hemophila Thrombophilia Treatment Center | General Acute Care Hospital | 3901 Beaubien St, Detroit, MI 48201-2119 | 2008-05-21 |
| 1649347469 | Children's Hospital of Michigan | General Acute Care Hospital | 3901 Beaubien St, Detroit, MI 48201-2119 | 2006-11-29 |
| 1922068378 | Childrens Hospital of Michigan | General Acute Care Hospital | 3901 Beaubien St, Detroit, MI 48201-2119 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851776876 | Jennifer Ha | General Acute Care Hospital | 1540 E Hospital Dr, Department of Pediatrics Otolaryngology, Ann Arbor, MI 48109-4000 | 2015-07-21 |
| 1396162350 | University of Michgan Health System | General Acute Care Hospital | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2014-03-27 |
| 1902108673 | Spectrum Health Hospitals | General Acute Care Hospital | 330 Barclay Ave Ne, Grand Rapids, MI 49503-2556 | 2010-12-01 |
| 1730492661 | Grand Rapids Medical Education Partners | General Acute Care Hospital | 100 Michigan St Ne # 13, Grand Rapids, MI 49503-2560 | 2010-07-20 |
| 1598996480 | Grand Rapids Medical Education and Research Number | General Acute Care Hospital | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2009-07-27 |
| 1245429190 | Sparrow | General Acute Care Hospital | 901 E Mount Hope Ave, Lansing, MI 48910-3207 | 2007-10-16 |
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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.