WAYNE STATE UNIVERSITY/DETROIT MEDICAL CENTER (NPI# 1922239920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922239920 |
| Entity Type | Organization |
| Organization Name | WAYNE STATE UNIVERSITY/DETROIT MEDICAL CENTER |
| Practice Address |
4201 Saint Antoine St # 2e Detroit MI 48201-2153 |
| Practice Telephone | 3137454984 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |
| Authorized Official Name | MS. EVA SAMULSKI (MANAGER) |
| Authorized Official Telephone | 3137454984 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 4301094483 | MI | Hospitals |
| Street Address |
4201 SAINT ANTOINE ST # 2E |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537745 | Ahmid Al-shawk | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2020-04-22 |
| 1871156315 | Ahmed Hisham Mohammed Abdulrahim | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2019-04-19 |
| 1750814869 | Antonio Smith | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2017-04-05 |
| 1710331632 | Brandon Scott Twardy | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2016-04-17 |
| 1275997447 | Lubna Iqbal Fatiwala | Internal Medicine | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2016-04-13 |
| 1306200761 | Leslie Kao | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2016-04-11 |
| 1417342486 | Bayan Chaker | Internal Medicine | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2015-04-06 |
| 1326433723 | Anirudh Penumetcha | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2015-04-02 |
| 1770992976 | Eyas Kanaan | Internal Medicine | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2014-08-13 |
| 1992046320 | Abdullah T Almohammadi | Student in an Organized Health Care Education/Training Program | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2013-03-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740899194 | Ascension Michigan Employer Solutions LLC | General Acute Care Hospital | 5555 Conner St Ste 2818, Detroit, MI 48213-3448 | 2020-07-30 |
| 1043551146 | Detroit Medical Center | General Acute Care Hospital | 3990 John R Rd, Detroit, MI 48201 | 2013-03-14 |
| 1346511151 | Sara Goldgraben | General Acute Care Hospital | 540 E. Canfield, Department of Radiation Oncology, Detroit, MI 48201 | 2012-01-25 |
| 1174837686 | Detroit Medical Center | General Acute Care Hospital | 4201 St. Antoine- 6g Uhc, 6g Uhc, Detroit, MI 48201 | 2010-07-27 |
| 1710134010 | Tetsuhiro Higashida | General Acute Care Hospital | 4201 St. Antoine Suite 6e, Detroit, MI 48201 | 2008-08-19 |
| 1487792818 | Detroit Hope Hospital | General Acute Care Hospital | 801 Virgina Park, Detroit, MI 48202 | 2007-02-01 |
| 1134266687 | Detroit Hope Hospital | General Acute Care Hospital | 801 Virginia Park, Detroit, MI 48202 | 2007-01-31 |
| 1669400305 | Ltac Hospital Detroit, LLC | General Acute Care Hospital | 801 Virginia Park St, Third Floor, Detroit, MI 48202-1925 | 2006-06-29 |
| 1043755788 | Barbara Ann Karmanos Cancer Center | General Acute Care Hospital | 4100 John R St, Detroit, MI 48201-2013 | 2017-01-05 |
| 1447617915 | Vibra of Southeastern Michigan, LLC | General Acute Care Hospital | 261 Mack Ave, 7th Floor, Detroit, MI 48201-2417 | 2016-01-28 |
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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.