SJMH MEDICAL PRACTICE (NPI# 1063514404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063514404 |
| Entity Type | Organization |
| Organization Name | SJMH MEDICAL PRACTICE |
| Practice Address |
44555 Woodward Ave Suite 402 Pontiac MI 48341-5031 |
| Practice Telephone | 2483351110 |
| Practice Fax Number | 2488583999 |
| Mailing Telephone | 2483351110 |
| Mailing Fax Number | 2488583999 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JACK WEINER (CEO) |
| Authorized Official Telephone | 2488583140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740382183 | Sjmh Medical Practice | Orthopaedic Surgery | 44555 Woodward Ave, Suite 105, Pontiac, MI 48341-5031 | 2006-09-05 |
| 1720180169 | Sjmh Medical Practice | Psychiatry & Neurology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1639271075 | Sjmh Medical Practice | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1245332683 | Sjmh Medical Practice | Family Medicine | 44405 Woodward Ave, Suite 202, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1154423598 | Sjmh Medical Practice | Pediatrics | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1972605319 | Sjmh Medical Practice | Internal Medicine | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1376654459 | Sjmh Medical Practice | Obstetrics & Gynecology | 1812 S Rochester Rd, Rochester Hills, MI 48307-3532 | 2006-08-31 |
| Street Address |
44555 WOODWARD AVE SUITE 402 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379758 | Donald Dino Bignotti | Family Medicine | 44555 Woodward Ave, Suite 402, Pontiac, MI 48341-5031 | 2005-07-12 |
| 1477002236 | Bloomfield Heart Center Pllc | Internal Medicine | 44555 Woodward Ave, Suite 403, Pontiac, MI 48341-5031 | 2016-09-22 |
| 1699124503 | Stroke Team One | Psychiatry & Neurology | 44555 Woodward Ave, Suite 104, Pontiac, MI 48341-5031 | 2016-06-10 |
| 1164800843 | Vincent James Krolikowski | Nurse Practitioner | 44555 Woodward Ave, Ste. 302, Pontiac, MI 48341-5031 | 2015-05-13 |
| 1699180505 | David Bracho | Anesthesiology | 44555 Woodward Ave, St. Joseph Mercy Oakland Mob Room 308, Pontiac, MI 48341-5031 | 2014-06-30 |
| 1538570189 | Reem Almuqati | Student in an Organized Health Care Education/Training Program | 44555 Woodward Ave, Suite 308, Pontiac, MI 48341-5031 | 2014-05-16 |
| 1083983498 | Kidney Center of Michigan | Internal Medicine | 44555 Woodward Ave, Suite 404, Pontiac, MI 48341-5031 | 2011-12-14 |
| 1740577170 | Ronald L Vandermolen | Surgery | 44555 Woodward Ave, Suite 501, Pontiac, MI 48341-5031 | 2011-07-06 |
| 1194011643 | Oakland Digestive Disease,pllc | Specialist | 44555 Woodward Ave, Ste 304, Pontiac, MI 48341-5035 | 2011-06-23 |
| 1174833081 | Ned Z Winkelman Md PC | Plastic Surgery | 44555 Woodward Ave, Suite 404, Pontiac, MI 48341-5031 | 2010-10-13 |
| 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 | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1992266563 | Woodhaven Specialists PC | Internal Medicine | 18600 Van Horn Road, Woodhaven, MI 48183-3828 | 2019-03-27 |
| 1023539913 | Yasir M M Farah | Internal Medicine | 37595 7 Mile Rd # 340, Livonia, MI 48152-1003 | 2017-06-29 |
| 1184078792 | Jon Jen Pllc | Internal Medicine | 6704 Country Club Ln, West Bloomfield, MI 48322-3972 | 2016-04-20 |
| 1861797144 | Asadulla Mohammed Md PC | Internal Medicine | 27901 Woodward Ave Ste 220, Berkley, MI 48072-0918 | 2011-01-19 |
| 1346553476 | Raminderjit Sekhon | Internal Medicine | 18181 Oakwood Blvd Ste 208, Dearborn, MI 48124-5031 | 2010-07-19 |
| 1881912517 | Amaraja Kanitkar | Internal Medicine | 3175 W. Professinal Drive, Mclaren Bay Pulmonology, Bay City, MI 48706 | 2010-05-05 |
| 1467682443 | Mihai Iliesiu | Internal Medicine | 27483 Dequindre Rd Ste 210, Madison Heights, MI 48071-5711 | 2009-07-23 |
| 1578710232 | Albert Naveed | Internal Medicine | 3950 Hollywood Rd Ste 280, Saint Joseph, MI 49085-9151 | 2008-08-25 |
| 1669636718 | Anthony Iacco | Internal Medicine | 22987 W 13 Mile Rd, Beverly Hills, MI 48025-4447 | 2008-07-17 |
| 1750545828 | Mohd Shaffi Kanjwal | Internal Medicine | 1015 S Washington Ave Ste D, Saginaw, MI 48601-2556 | 2008-07-17 |
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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.