SAINT JOSEPH MERCY LIVINGSTON HOSPITAL (NPI# 1649399684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649399684 |
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 | 2007-03-29 |
Last Update Date | 2020-08-22 |
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 |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497874531 | Saint Joseph Mercy Livingston Hospital | Emergency Medicine | 7575 Grand River, Urg Care, Brighton, MI 48114 | 2007-03-28 |
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 |
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 |
---|---|---|---|---|
1497874531 | Saint Joseph Mercy Livingston Hospital | Emergency Medicine | 7575 Grand River, Urg Care, Brighton, MI 48114 | 2007-03-28 |
1467807735 | Abhilash Kotte | Student in an Organized Health Care Education/Training Program | 7575 Grand River, 209, Brighton, MI 48114 | 2016-04-25 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326596396 | Constantina Kostka | Physician Assistant | 1560 Commonwealth Ave, Apt. #16, Brighton, MA 02135-5038 | 2016-09-19 |
1689919318 | Alexis Grant Kochevar | Physician Assistant | 70 S 20th Ave Ste H, Brighton, CO 80601-3704 | 2012-12-06 |
1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
1154804847 | Rebecca Lynn Kahn | Physician Assistant | 8273 Grand River Rd Ste 210, Brighton, MI 48114-9346 | 2018-09-10 |
1831695634 | Amanda Dvorak | Physician Assistant | 2801 Purcell St, Brighton, CO 80601 | 2018-04-02 |
1942759998 | Stephen Norris Pope-rolewski | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2016-09-30 |
1780032524 | Alyssa Zantello | Physician Assistant | 2305 Genoa Business Park Dr, Suite 170, Brighton, MI 48114-7004 | 2016-06-02 |
1689070963 | Shawna Karman | Physician Assistant | 2801 Purcell St, Brighton, CO 80601-3551 | 2014-11-13 |
1013324367 | Lane Marie Bryant | Physician Assistant | 1860 E Egbert St, Brighton, CO 80601-2475 | 2014-07-18 |
1083902811 | Lindsay C. Stanley | Physician Assistant | 736 Cambridge St, Brighton, MA 02135-2907 | 2011-07-14 |
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.