ASCENSION ST JOSEPH HOSPITAL (NPI# 1003996679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003996679 |
| Entity Type | Organization |
| Organization Name | ASCENSION ST JOSEPH HOSPITAL |
| Other Organization Name | IMC/ONC PART B |
| Practice Address |
200 Hemlock Tawas City MI 48763 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9893629411 |
| Practice Fax Number | 9893629925 |
| Mailing Telephone | 9893626108 |
| Mailing Fax Number | 9893620161 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | CHARITY HIGGINS (DIR-MEDICAL PRACTICES) |
| Authorized Official Telephone | 9893629304 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS -INTERNAL MED/PEDS | 110C56009 | 01 |
| Other Name | Type Code |
|---|---|
| Ascension St Joseph Hospital Pediatrics Hematology&Oncology IMC | Other Name - Individual/Organization |
| IMC/ONC PART B | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235219965 | Ascension St Joseph Hospital | Obstetrics & Gynecology | 25 E M 55, Tawas City, MI 48763-9362 | 2006-10-17 |
| 1326036153 | Ascension St Joseph Hospital | Clinic/Center | 3210 E Huron Rd, Au Gres, MI 48703-9322 | 2005-10-06 |
| 1730177528 | Ascension St Joseph Hospital | Clinic/Center | 3190 Northridge Rd, Hale, MI 48739-9276 | 2005-10-06 |
| 1649555004 | Ascension St Joseph Hospital | Family Medicine | 325 E M 55, Suite B, Tawas City, MI 48763-8211 | 2011-10-18 |
| 1477716165 | Ascension St Joseph Hospital | Clinic/Center | 110 Beech St Ste A, Tawas City, MI 48763-8314 | 2008-07-03 |
| 1437233426 | Ascension St Joseph Hospital | Family Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1255416897 | Ascension St Joseph Hospital | Emergency Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1235213257 | Ascension St Joseph Hospital | Medicare Defined Swing Bed Unit | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1467532119 | Ascension St Joseph Hospital | Anesthesiology | 200 Hemlock, Tawas City, MI 48763 | 2006-10-17 |
| 1194713461 | Ascension St Joseph Hospital | General Acute Care Hospital | 200 Hemlock St, Tawas City, MI 48763-9237 | 2005-10-11 |
| Street Address |
200 HEMLOCK |
| City | TAWAS CITY |
| State | MI |
| Zip Code | 48763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376527176 | Judy Sables | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2005-12-05 |
| 1902126667 | Charity C Simpkins | Dietitian, Registered | 200 Hemlock, Tawas City, MI 48764-0659 | 2010-06-04 |
| 1437233426 | Ascension St Joseph Hospital | Family Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1255416897 | Ascension St Joseph Hospital | Emergency Medicine | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1235213257 | Ascension St Joseph Hospital | Medicare Defined Swing Bed Unit | 200 Hemlock, Tawas City, MI 48763 | 2006-10-25 |
| 1447331434 | St Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2006-10-18 |
| 1467532119 | Ascension St Joseph Hospital | Anesthesiology | 200 Hemlock, Tawas City, MI 48763 | 2006-10-17 |
| 1801993266 | Sarah Vansumeren | Physician Assistant | 200 Hemlock, Tawas City, MI 48763 | 2006-09-20 |
| 1104835198 | Ian Mclaren | Anesthesiology | 200 Hemlock, Tawas City, MI 48763 | 2006-08-07 |
| 1780692251 | Sharon Langley | Physician Assistant | 200 Hemlock, Tawas City, MI 48763 | 2006-08-03 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104869171 | Joseph J Vanderveen | Internal Medicine | 312 W M 55, Tawas City, MI 48763-9253 | 2006-06-14 |
| 1629018494 | Northwoods Internal Medicine, P.C. | Internal Medicine | 312 M 55 W, Tawas City, MI 48763-9253 | 2006-06-08 |
| 1235186438 | Kenneth A Jordan | Internal Medicine | 295 Maple St Ste 202, Tawas City, MI 48763-9352 | 2006-05-31 |
| 1386922771 | Sandesh Murali | Internal Medicine | 295 Maple St, Tawas City, MI 48763-9352 | 2011-08-02 |
| 1457579898 | Steven Dowdy | Internal Medicine | 295 Maple St, Suite 203, Tawas City, MI 48763-9352 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910687 | Berry Johnson Health Pllc | Internal Medicine | 30123 Rock Creek Dr, Southfield, MI 48076-5358 | 2020-10-24 |
| 1386243178 | Hoover Internal Medicine Pllc | Internal Medicine | 4067 Georgia St, Hamtramck, MI 48212 | 2020-10-22 |
| 1790399798 | Enhua Wang | Internal Medicine | 1215 E Michigan Ave Ste 500, Lansing, MI 48912-1811 | 2020-09-07 |
| 1093329849 | Hey Doc, P.C. | Internal Medicine | 1431 Washington Blvd Apt 2510, Detroit, MI 48226-1729 | 2020-08-31 |
| 1568074375 | Mohammad Nadeemullah Pllc | Internal Medicine | 5400 Waldenhill Ct, Superior Twp, MI 48198-9654 | 2020-08-21 |
| 1356953723 | Eager Internal Medicine, Pllc | Internal Medicine | 720 N Lapeer Rd Ste 101, Lake Orion, MI 48362-4011 | 2020-08-18 |
| 1144838335 | Ranim Chamseddin | Internal Medicine | 3200 Five Points Dr Unit 110, Auburn Hills, MI 48326-2372 | 2020-07-14 |
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1265057624 | Olga Romina Gomez Rojas | Internal Medicine | 3607 W 13 Mile Rd, Royal Oak, MI 48073 | 2020-06-11 |
| 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.