ST JOSEPH MERCY HOSPITAL-SMHC (NPI# 1053356352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053356352 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL-SMHC |
| Other Organization Name | ST JOSEPH MERCY OAKLAND |
| Practice Address |
44405 Woodward Ave Pontiac MI 48341-5023 |
| Practice Telephone | 2488586174 |
| Practice Fax Number | 2488583795 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2013-08-14 |
| Authorized Official Name | MR. MICHAEL P GUSHO (CFO) |
| Authorized Official Telephone | 2488586174 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 630140 | MI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1557506 | 05 | |
| MI | M-CARE IP/OP ACUTE | HL630003 | 01 |
| MI | OMNICARE IP/OP ACUTE | 16315 | 01 |
| MI | ULTIMED IP/OP ACUTE | 501048 | 01 |
| MI | 5172026 | 05 | |
| MI | CARE CHOICES IP/OP ACUTE | 100018 | 01 |
| MI | GREAT LAKES IP/OP ACUTE | 1557506 | 01 |
| MI | SELECTCARE IP/OP ACUTE | 911000 | 01 |
| MI | CHAMPUS IP/OP ACUTE | M029978 | 01 |
| MI | BLUE CROSS IP/OP ACUTE | 00008 | 01 |
| MI | WELLNESS IP ACUTE | 123120-0001 | 01 |
| MI | WELLNESS OP ACUTE | 123120-0002 | 01 |
| MI | HAP IP/OP ACUTE | 88414A | 01 |
| Other Name | Type Code |
|---|---|
| St Joseph Mercy Oakland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144735184 | St Joseph Mercy Hospital-smhc | Clinic/Center | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-12-13 |
| 1467481713 | St Joseph Mercy Hospital-smhc | Rehabilitation Unit | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-06-30 |
| 1679501936 | St Joseph Mercy Hospital-smhc | Psychiatric Unit | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-06-28 |
| Street Address |
44405 WOODWARD AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598433 | Nicola Lynn Juzysta | Pharmacist | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2005-06-20 |
| 1598364911 | Briahnnon Long | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-10-19 |
| 1831705060 | Christopher Lopez | Emergency Medical Technician, Paramedic | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-09-22 |
| 1124645627 | Vikram Aiman Ayapati | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341 | 2020-06-30 |
| 1457978280 | Dilnaz Alam | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-27 |
| 1700402807 | Peter De Mola | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-24 |
| 1093331241 | Paul Young Mah | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1205452430 | Ali Khan | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1326664624 | Brandon Christopher Merta | Registered Nurse | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-22 |
| 1154946051 | Molly Elizabeth Dwenger | Dentist | 44405 Woodward Ave, Medical Eduation - H23, Pontiac, MI 48341-5023 | 2020-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| 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 |
|---|---|---|---|---|
| 1629405626 | Advanced Healthcare Hospital LLC | General Acute Care Hospital | 50 N Perry St, 6th Floor, Pontiac, MI 48342-2217 | 2013-10-04 |
| 1942647730 | St. Joseph's Mercy Oakland | General Acute Care Hospital | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2013-06-03 |
| 1013262468 | Oakland Physicians Medical Center, LLC | General Acute Care Hospital | 461 W Huron Street, Pontiac, MI 48341 | 2012-07-20 |
| 1003129248 | St. Joseph Mercy Oakland | General Acute Care Hospital | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2010-07-16 |
| 1639482086 | St. Joseph Mercy Oakland | General Acute Care Hospital | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2010-07-14 |
| 1992954945 | Pontiac General Hospital & Medical Center | General Acute Care Hospital | 461 W Huron St, Pontiac, MI 48341-1601 | 2008-09-15 |
| 1710133541 | St Joseph Mercy | General Acute Care Hospital | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2008-08-12 |
| 1801904578 | Saint James Hospital | General Acute Care Hospital | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-08-25 |
| 1992742746 | Pontiac General Hospital and Medical Center | General Acute Care Hospital | 461 W Huron St, Pontiac, MI 48341-1601 | 2006-06-01 |
| 1407808090 | Saint James Hospital | General Acute Care Hospital | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-16 |
| Find all providers in PONTIAC | ||||
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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.