ASCENSION MACOMB OAKLAND HOSPITAL


Address: 11800 E 12 Mile Rd, Warren, MI 48093-3472
Phone: 5865735000

ASCENSION MACOMB OAKLAND HOSPITAL (NPI# 1578696092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578696092
Entity Type Organization
Organization Name ASCENSION MACOMB OAKLAND HOSPITAL
Practice Address 11800 E 12 Mile Rd
Warren
MI 48093-3472
Mailing Address 43800 Garfield Rd
Suite 200
Clinton Township
MI 48038-1136
Practice Telephone 5865735000
Mailing Telephone 5862284635
Mailing Fax Number 5862284520
Enumeration Date 2007-03-13
Last Update Date 2018-12-04
Authorized Official Name SARAH STARKEL (CREDENTIALING COORDINATOR)
Authorized Official Telephone 2486808121
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI BCBS GROUP NUMBER 0F38585 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356775001 Ascension Macomb Oakland Hospital Internal Medicine 27351 Dequindre Rd, Madison Heights, MI 48071-3487 2013-08-29
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
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

Other Data Sources

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

Office Location

Street Address 11800 E 12 MILE RD
City WARREN
State MI
Zip Code 48093-3472

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740280940 Manisha Kaur Bajwa Pharmacist 11800 E 12 Mile Rd, Pharmacy Department, Warren, MI 48093-3472 2005-07-28
1679181986 Roxana Lionte Nurse Practitioner 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-07-22
1649893355 Patrick Yang Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-05-28
1831711936 Elisheva Ellenberg Nurse Practitioner 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-05-12
1427686716 Pavan Kumar Ravipati Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-03-31
1962038885 Natasha Mehta Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-03-23
1194350645 Katherine Sara Streidl Nurse Anesthetist, Certified Registered 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-03-05
1891326898 Clara Poparad-stezar Student in an Organized Health Care Education/Training Program 11800 E 12 Mile Rd, Warren, MI 48093-3472 2020-01-28
1023653797 Lauren Ashley Shailor Nurse Practitioner 11800 E 12 Mile Rd, Warren, MI 48093-3472 2019-11-16
1700428984 Olivia Lynn Hedman Dietitian, Registered 11800 E 12 Mile Rd, Warren, MI 48093-3472 2019-10-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023615986 Toleka Regina Taylor Nurse Anesthetist, Certified Registered St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 2020-10-05
1679112676 Open Heart Communities Case Management 31310 Shaw Dr, Warren, MI 48093 2019-12-23
1538715636 3 Dove Medical Supplies Durable Medical Equipment & Medical Supplies 31201 Chicago Rd S Ste C101, Warren, MI 48093 2019-08-14
1568954600 Schreiber Cardiology, P.C. Internal Medicine 8545 Common Rd Ste 150, Warren, MI 48093 2018-06-05
1730686197 Lambro Seremetis Social Worker 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 2018-04-11
1649775826 Ridge Downs Behavioral Analyst 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 2018-03-28
1144722737 Jessica Farraj Occupational Therapist 11800 E. 12 Mile Road, Warren, MI 48093 2018-02-28
1265930168 Leah Hanrahan Registered Nurse 11700 Amberle Dr., Warren, MI 48093 2018-01-25
1598271553 Pamela Marie Confer Occupational Therapist 11012 13 Mile Rd, Suite 200, Warren, MI 48093 2017-12-28
1831604347 Kate Jeanne Szczepanski Behavior Technician 31200 Chicago Rd S, Warren, MI 48093 2017-12-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518514926 Brittany Mazejko Nurse Practitioner 1745 Niles Cortland Rd Ne, Warren, OH 44484-6046 2019-08-20
1699276295 Sabrina Vitale Nurse Practitioner 32318 Dover Ave, Warren, MI 48088-6903 2018-02-28
1417313727 Mai Shoua Xiong Nurse Practitioner 11800 East 12 Mile Road, Warren, MI 48093 2016-01-04
1023485638 Rowena Callo Teodoro Nurse Practitioner 27560 Hoover Rd., Warren, MI 48093 2015-08-31
1598173056 Whitney J. Shafer Nurse Practitioner 470 Bennett Dr, Warren, IN 46792 2014-07-29
1508130097 Psych Solutions Inc. Nurse Practitioner 2189 Stillwagon Rd Se, Warren, OH 44484-3169 2012-02-29
1255531489 Jill M Gorton Nurse Practitioner 2817 Market St, Warren, PA 16365-5205 2007-07-25
1902953763 Julie M Towery Nurse Practitioner 824 Huntington Ave # In, Warren, IN 46792-9402 2007-01-04
1831290295 Melissa D Shene Nurse Practitioner 418 Pennsylvania Ave E, Warren, PA 16365-2775 2006-09-26
1699771139 Kamie Dee Repine Nurse Practitioner 2 Crescent Park West, Warren Faculty Specialists, Warren, PA 16365-2111 2005-06-21
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Competitor

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City WARREN
Zip Code 48093

Improve Information

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Dataset Information

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.

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