ASCENSION ST JOHN HOSPITAL (NPI# 1023088168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023088168 |
Entity Type | Organization |
Organization Name | ASCENSION ST JOHN HOSPITAL |
Other Organization Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
Practice Address |
22101 Moross Detroit MI 48236 |
Mailing Address |
22101 Moross Rd Suite 450 Detroit MI 48236 |
Practice Telephone | 3133437537 |
Practice Fax Number | 3133437533 |
Mailing Telephone | 2486808000 |
Mailing Fax Number | 5867530340 |
Enumeration Date | 2006-01-23 |
Last Update Date | 2020-06-30 |
Authorized Official Name | DR. KEVIN GRADY (PRESIDENT) |
Authorized Official Telephone | 3133437535 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
Y | 282N00000X | General Acute Care Hospital | Hospitals |
Other Name | Type Code |
---|---|
St John Hospital and Medical Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114366333 | Ascension St John Hospital | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2013-06-20 |
1376820605 | Ascension St John Hospital | Internal Medicine | 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 | 2011-11-15 |
1922397058 | Ascension St John Hospital | Internal Medicine | 22301 Foster Winter Dr, 2n Floor, Southfield, MI 48075-3707 | 2011-03-29 |
1457663197 | Ascension St John Hospital | Family Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2010-07-10 |
1023335544 | Ascension St John Hospital | Rehabilitation Unit | 22101 Moross Rd, Detroit, MI 48236-2148 | 2010-04-23 |
1285893727 | Ascension St John Hospital | Obstetrics & Gynecology | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
1043478910 | Ascension St John Hospital | Podiatrist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2008-05-28 |
1396876256 | Ascension St John Hospital | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-09 |
1023149473 | Ascension St John Hospital | Clinic/Center | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-08 |
1598896995 | Ascension St John Hospital | Nurse Anesthetist, Certified Registered | 22101 Moross Rd, Suite 101, Detroit, MI 48236-2148 | 2007-03-08 |
Street Address |
22101 MOROSS |
City | DETROIT |
State | MI |
Zip Code | 48236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134601586 | Jennifer Modina Roque | Registered Nurse | 22101 Moross, Detroit, MI 48236 | 2018-09-02 |
1922158450 | Rose Satterwhite | Social Worker | 22101 Moross, Detroit, MI 48236 | 2007-01-10 |
1629032636 | Kellie Martin | Nurse Anesthetist, Certified Registered | 22101 Moross, Detroit, MI 48226 | 2006-04-14 |
1295705945 | Ascension St John Hospital | Psychiatric Unit | 22101 Moross, Detroit, MI 48236 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
Find all providers in zip 48236 |
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 |
1922239920 | Wayne State University/detroit Medical Center | General Acute Care Hospital | 4201 Saint Antoine St # 2e, Detroit, MI 48201-2153 | 2009-08-07 |
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 |
Find all providers in DETROIT |
Please comment or provide details below to improve the information on ASCENSION ST JOHN HOSPITAL.
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.