MERCY MEMORIAL HOSPITAL CORPORATION (NPI# 1659614022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659614022 |
| Entity Type | Organization |
| Organization Name | MERCY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | FAMILY MEDICINE RESIDENCY CENTER |
| Practice Address |
650 Steward Road Monroe MI 48162 |
| Practice Telephone | 7342408430 |
| Mailing Telephone | 7342408430 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | ANNETTE PHILLIPS (MMHS-CEO) |
| Authorized Official Telephone | 7342404550 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEMORIAL HOSPITAL SYSTEM |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301069503 | MI | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Family Medicine Residency Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386721413 | Mercy Memorial Hospital Corporation | Home Health | 1070 N Monroe St, Monroe, MI 48162 | 2006-11-01 |
| 1437635505 | Mercy Memorial Hospital Corporation | General Acute Care Hospital | 718 N Macomb St, Monroe, MI 48162-7815 | 2018-07-12 |
| 1811426331 | Mercy Memorial Hospital Corporation | Clinical Medical Laboratory | 718 N Macomb St, Monroe, MI 48162-7815 | 2017-06-08 |
| 1376997551 | Mercy Memorial Hospital Corporation | Specialist | 800 Stewart Rd, Monroe, MI 48162-4226 | 2016-04-14 |
| 1861636540 | Mercy Memorial Hospital Corporation | Internal Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2009-04-27 |
| 1972781714 | Mercy Memorial Hospital Corporation | Community/Behavioral Health | 700 Stewart Rd, Monroe, MI 48162-5304 | 2008-02-04 |
| 1942487053 | Mercy Memorial Hospital Corporation | Psychiatry & Neurology | 718 N Macomb St, Monroe, MI 48162-7815 | 2008-01-31 |
| 1659558765 | Mercy Memorial Hospital Corporation | Obstetrics & Gynecology | 718 N Macomb St, Monroe, MI 48162-7815 | 2008-01-31 |
| 1174700694 | Mercy Memorial Hospital Corporation | Emergency Medicine | 100 Powell Dr, Dundee, MI 48131-8644 | 2008-01-28 |
| 1942354873 | Mercy Memorial Hospital Corporation | Community/Behavioral Health | 700 Stewart Rd, Ste 105, Monroe, MI 48162-5304 | 2007-01-22 |
| Street Address |
650 STEWARD ROAD |
| City | MONROE |
| State | MI |
| Zip Code | 48162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| 1285933523 | Harold Douglas Gaston Sr. | Counselor | 14930 Laplaisance, Suite 106 (harwood Plaza), Monroe, MI 48162 | 2011-03-25 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1972124832 | Jessica Womack | Family Medicine | 527 W Hurd Rd, Monroe, MI 48162-9205 | 2020-05-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
| 1144601121 | Rebecca Redding | Family Medicine | 924 W Spring St Ste A, Monroe, GA 30655-1751 | 2015-06-15 |
| 1285069088 | Geaux Family Health, LLC | Family Medicine | 2408 Duval Dr, Suite 1, Monroe, LA 71201-2986 | 2013-09-11 |
| 1033559844 | Mvhe, Inc | Family Medicine | 20 Overbrook Dr Ste C, Monroe, OH 45050-1147 | 2013-06-26 |
| 1982048237 | Erin Robinson Breard | Family Medicine | 3995 Sterlington Rd, Ste A, Monroe, LA 71203-3723 | 2013-04-17 |
| 1598015968 | Urban Medical Clinic, Inc. | Family Medicine | 1910 Jackson St., Monroe, LA 71202-2532 | 2012-09-13 |
| 1710248653 | Shannel Anyae Pegram | Family Medicine | 1160 Reynolds St, Monroe, NC 28112 | 2012-06-07 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on MERCY MEMORIAL HOSPITAL CORPORATION.
| 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.