ASCENSION MEDICAL GROUP MICHIGAN (NPI# 1801992557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801992557 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Practice Address |
13935 Plumbrook Rd Sterling Heights MI 48312-1727 |
| Mailing Address |
43750 Garfield Rd Suite 211 Clinton Township MI 48038-1135 |
| Practice Telephone | 5869399900 |
| Practice Fax Number | 5869398246 |
| Mailing Telephone | 8779969975 |
| Mailing Fax Number | 5862284666 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2018-03-22 |
| Authorized Official Name | MARTHA JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 2486808004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 5901002120 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
5901002120 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
5901002120 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
5901002120 | MI | Podiatric Medicine & Surgery Service Providers |
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901002120 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS DME SUPPLIER NUMBER | 540E020630 | 01 |
| MI | BCBSM GROUP NUMBER | 700E012740 | 01 |
| MI | BCBSM DME NUMBER | 0E02063 | 01 |
| MI | BCBS PIN | 5501280 | 01 |
| MI | RAILROAD MEDICARE GROUP NUMBER | CA6965 | 01 |
| MI | RAILROAD MEDICARE GROUP NUMBER | CB2735 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770984601 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 19229 Mack Ave, Suite 27, Grosse Pointe Woods, MI 48236-2858 | 2014-09-10 |
| 1871913228 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2014-04-24 |
| 1851732226 | Ascension Medical Group Michigan | Family Medicine | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-12 |
| 1316197502 | Ascension Medical Group Michigan | Internal Medicine | 2033 Crooks Rd, Royal Oak, MI 48073-4049 | 2008-09-24 |
| 1548433626 | Ascension Medical Group Michigan | Surgery | 4014 River Rd, 3b, East China, MI 48054-2916 | 2008-04-09 |
| 1629272968 | Ascension Medical Group Michigan | Dentist | 22201 Moross Rd, Detroit, MI 48236-2169 | 2007-06-12 |
| 1730380254 | Ascension Medical Group Michigan | Family Medicine | 37771 Schoenherr Rd, Suite 104, Sterling Heights, MI 48312-2302 | 2007-05-31 |
| 1114133485 | Ascension Medical Group Michigan | Pediatrics | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2007-05-15 |
| 1144436411 | Ascension Medical Group Michigan | Nurse Practitioner | 42645 Garfield Rd, Clinton Township, MI 48038-5022 | 2007-05-15 |
| 1588737266 | Ascension Medical Group Michigan | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2006-11-17 |
| Street Address |
13935 PLUMBROOK RD |
| City | STERLING HEIGHTS |
| State | MI |
| Zip Code | 48312-1727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043701287 | Erin Krugel | Physical Therapist | 33464 Schoenherr Rd Ste 100, Sterling Heights, MI 48312 | 2018-05-23 |
| 1124556691 | Roman Novatchinski | Licensed Practical Nurse | 13654 Brougham, Sterling Heights, MI 48312 | 2017-05-30 |
| 1679010763 | Lake City Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 33389 Van Dyke Ave, Sterling Heights, MI 48312 | 2017-01-26 |
| 1598113912 | Joseph Donald Evens | Occupational Therapist | 11635 Filer Drive, Sterling Heights, MI 48312 | 2016-05-26 |
| 1942656855 | Damini Desai | Technician, Other | 38157 Corbett Dr, Sterling Heights, MI 48312 | 2016-05-10 |
| 1891151593 | Your Healing Hands Massage Therapy, LLC | Massage Therapist | 6029 E 14 Mile Rd Ste 200, Sterling Heights, MI 48312 | 2016-01-11 |
| 1033539069 | Macomb County Community Mental Health | Community/Behavioral Health | 6555 15 Mile Road, Sterling Heights, MI 48312 | 2014-04-17 |
| 1467705871 | Julie Anne Hepke | Social Worker | 13213 E. 14 Mile Road, Sterling Heights, MI 48312 | 2012-10-23 |
| 1619226354 | Kimberly Marie Dorband | Physical Therapy Assistant | 6041 15 Mile Road, Sterling Heights, MI 48312 | 2012-09-07 |
| 1477810026 | Frances Sherryl Salvadora Ramos | Physical Therapist | 8170 Crestview Dr Apt 6, Sterling Heights, MI 48312 | 2012-04-20 |
| Find all providers in zip 48312 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126386 | Mala Podiatric Services,llc | Podiatrist | 4595 Nathan W, Sterling Heights, MI 48310-2658 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104994 | Precision Podiatry Pllc | Podiatrist | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | 2020-04-28 |
| 1154663235 | Radu Dan Purtuc | Podiatrist | 422 N Center St Ste B, Northville, MI 48167-1224 | 2013-03-26 |
| 1649419300 | Total Loving Care & Podiatric Services, P.C. | Podiatrist | 15324 Michigan Ave, Dearborn, MI 48126-2917 | 2009-02-19 |
| 1912143389 | Tameka Parham Taylor | Podiatrist | 29425 Northwestern Hwy Ste 125, Southfield, MI 48034-1083 | 2009-01-06 |
| 1558515072 | Kristi S Schons Dpm Inc | Podiatrist | 3036 Voorheis Lake Ct, Lake Orion, MI 48360-1867 | 2008-11-11 |
| 1790938926 | Northern Foot & Ankle Centers PC | Podiatrist | 4656 E F 41, Oscoda, MI 48750-2227 | 2008-10-31 |
| 1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
| 1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
| 1831219542 | Foot and Ankle Group, P.C. | Podiatrist | 6533 E Jefferson Ave Apt 317, Detroit, MI 48207-4361 | 2007-03-29 |
| 1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | STERLING HEIGHTS |
| Zip Code | 48312 |
Please comment or provide details below to improve the information on ASCENSION MEDICAL GROUP MICHIGAN.
| 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.