ST JOSEPH HEALTH SYSTEM INC (NPI# 1871810523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871810523 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HEALTH SYSTEM INC |
| Other Organization Name | ST JOSEPH UROLOGY CENTER |
| Practice Address |
200 Hemlock St Tawas City MI 48763-9237 |
| Mailing Address |
110 E State St East Tawas MI 48730-1328 |
| Practice Telephone | 9893620153 |
| Practice Fax Number | 9893624683 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | MRS. LINDA STANCILL (CFO/VP) |
| Authorized Official Telephone | 9893629303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Joseph Urology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918409 | St Joseph Health System Inc | Obstetrics & Gynecology | 621 Court St, Suite 106, West Branch, MI 48661-8767 | 2011-10-06 |
| 1508183369 | St Joseph Health System Inc | Urology | 110 E State St, East Tawas, MI 48730-1328 | 2010-05-03 |
| 1396997045 | St Joseph Health System Inc | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2008-10-14 |
| 1356503338 | St Joseph Health System Inc | Physician Assistant | 110 Beech St Ste B, Tawas City, MI 48763-8314 | 2008-06-30 |
| 1447331434 | St Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2006-10-18 |
| 1689662421 | St Joseph Health System Inc | Clinic/Center | 106 Division St, Oscoda, MI 48750-1607 | 2005-10-06 |
| Street Address |
200 HEMLOCK ST |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763-9237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700874542 | Robert L Donnell | Internal Medicine | 200 Hemlock St, Tawas City, MI 48763-9237 | 2005-10-06 |
| 1861909186 | Neal Mason | Nurse Anesthetist, Certified Registered | 200 Hemlock St, Tawas City, MI 48763-9237 | 2018-01-08 |
| 1356897409 | Kymberly Samotis | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2016-08-29 |
| 1962775080 | Alcona Citizens for Health, Inc | Obstetrics & Gynecology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2012-02-21 |
| 1982914313 | Jayna Lynnae Ayres | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-10-19 |
| 1629305354 | Stacy Michelle Shoen | Pharmacist | 200 Hemlock St, Tawas City, MI 48763-9237 | 2009-11-18 |
| 1396997045 | St Joseph Health System Inc | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2008-10-14 |
| 1497973762 | Alliance Imaging Inc | Clinic/Center | 200 Hemlock St, Tawas City, MI 48764 | 2007-04-23 |
| 1669499133 | Dwight Fiske | Physician Assistant | 200 Hemlock St, Tawas City, MI 48763-9237 | 2006-07-17 |
| 1720017320 | Keith Lawrence | Nurse Anesthetist, Certified Registered | 200 Hemlock St, Tawas City, MI 48763-9237 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720447006 | Josie Short | Student in an Organized Health Care Education/Training Program | 127 Wheeler Street, Tawas, MI 48763 | 2016-02-16 |
| 1689052698 | Victoria Mcgillis | Nurse Practitioner | 325 E M 55 Ste B, Tawas City, MI 48763 | 2015-05-11 |
| 1942500160 | Jeffrey M Chadwick O D P C | Optometrist | 325 M-55, Tawas City, MI 48763 | 2010-10-22 |
| 1659536068 | Josip Petani | Pediatrics | 101 W. Lake St, Tawas City, MI 48763 | 2008-07-24 |
| 1790963312 | Phillip A Wienczewski Pllc | Dentist | 671 E M 55, Tawas City, MI 48763 | 2008-02-06 |
| 1902090038 | Life Family Chiropractic LLC | Chiropractor | 196 M 55, Life Family Chiropractic, Tawas City, MI 48763 | 2007-08-31 |
| 1467586446 | Thomas Aldrich Dawson | Dentist | 508 Hemlock Avenue, Tawas City, MI 48763 | 2007-03-14 |
| 1497819056 | Phillip Allen Wienczewski | Dentist | 671 E M55, Tawas City, MI 48763 | 2006-12-20 |
| 1821163106 | Charles Edward Kudwa | Dentist | 510 West Lake St, Tawas City, MI 48763 | 2006-11-21 |
| 1720017312 | Jeffrey Michael Chadwick | Optometrist | 325 M-55 East, Tawas City, MI 48763 | 2006-07-03 |
| Find all providers in zip 48763 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538198650 | Mahmood S Hasan Md P C | Urology | 314 W M 55, Tawas City, MI 48763-9253 | 2006-07-01 |
| 1306822218 | Mahmood S Hasan | Urology | 314 M 55 W, Tawas City, MI 48763-9253 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | TAWAS CITY |
| Zip Code | 48763 |
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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.