ST. JOHN HEALTH (NPI# 1093872111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093872111 |
| Entity Type | Organization |
| Organization Name | ST. JOHN HEALTH |
| Practice Address |
7633 E. Jefferson Suite 170 Detroit MI 48214 |
| Practice Telephone | 3134994262 |
| Practice Fax Number | 3134994878 |
| Mailing Telephone | 3134994262 |
| Mailing Fax Number | 3134994878 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHEILA NORWOOD (DIRECTOR OF COMPREHENSIVE REHAB) |
| Authorized Official Telephone | 3134994671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ST JOHN HEALTH CARE STAFFING, LLC | 10197 Backwater Cove, Saint John, IN 46373 |
| System for Award Management (SAM) Entities | ST. JOHN HEALTH SYSTEM, INC. | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Street Address |
7633 E. JEFFERSON SUITE 170 |
| City | DETROIT |
| State | MI |
| Zip Code | 48214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134212889 | Herbert Bircoll | Podiatrist | 7633 E. Jefferson, Suite 250, Detroit, MI 48214 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376042325 | Tamara Wesley | Registered Nurse | 9000 E. Jefferson Apt 28-14, Detroit, MI 48214 | 2018-02-06 |
| 1720534381 | Birth Beautiful Detroit | Clinic/Center | 1086 Baldwin, Detroit, MI 48214 | 2016-09-01 |
| 1225402886 | Steven Doyle Whatley I | Counselor | 1423 Field Ave., Adult Well Being Services, Detroit, MI 48214 | 2015-11-19 |
| 1255587945 | Andrew Avery | Internal Medicine | 7733 East Jefferson Ave, Detroit, MI 48214 | 2008-08-13 |
| 1639330210 | Nicole Lashawn Greene | Specialist | 4533 St Clair St, Detroit, MI 48214 | 2008-06-17 |
| 1629299433 | Alan R Faber Jr. | Dentist | 8191 E Jefferson Ave, Detroit, MI 48214 | 2007-05-01 |
| 1518188598 | Mary F Bridges | Psychiatry & Neurology | 8120 East Jefferson #3l, Detroit, MI 48214 | 2007-05-01 |
| 1053439737 | Geraldine Etella Davis | Counselor | 3840 Fairview St., Detroit, MI 48214 | 2007-03-27 |
| 1639203482 | Detroit-macomb Hospital Corporation | Advanced Practice Midwife | 7815 E. Jefferson, Detroit, MI 48214 | 2007-03-15 |
| 1033275441 | Anesha Amor Rouse | Physical Therapy Assistant | 7633 E. Jefferson Ave, Suite 170, Detroit, MI 48214 | 2006-12-29 |
| Find all providers in zip 48214 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034710 | Personalize Advance Therapy Services | Clinic/Center | 4777 E Outer Dr Fl Ge, Detroit, MI 48234-3241 | 2020-02-10 |
| 1174162812 | District Physical Therapy LLC | Clinic/Center | 5157 Stanton St, Detroit, MI 48208-2063 | 2019-12-28 |
| 1881193514 | Detroit Healing Hands Physical Therapy Center, LLC | Clinic/Center | 19522 W Mcnichols Rd Ste E, Detroit, MI 48219-4090 | 2018-02-08 |
| 1538674841 | Axxess Physical Therapy and Rehab Lp | Clinic/Center | 19915 James Couzens Fwy, Detroit, MI 48235-1840 | 2017-12-08 |
| 1841723806 | Sunshine Physical Therapy, LLC | Clinic/Center | 11220 E Jefferson Ave, Detroit, MI 48214-3320 | 2017-04-06 |
| 1598219180 | Professional Care Rehab LLC | Clinic/Center | 17707 Fenkell St, Detroit, MI 48227-1513 | 2016-08-11 |
| 1720439912 | Amex Rehabilitation Inc | Clinic/Center | 16143 W Warren Ave, Detroit, MI 48228-3762 | 2016-06-29 |
| 1558722629 | Courageous Inc | Clinic/Center | 12925 Auburn St, Detroit, MI 48223-3400 | 2016-03-16 |
| 1285975227 | Okezie Wachuku | Clinic/Center | 8904 Woodward Ave # 104, Detroit, MI 48202-1821 | 2013-03-14 |
| 1497008387 | Kathelene's Mobility Rehab Services, P.C. | Clinic/Center | 14219 W. Mc Nichols, Suite B, Detroit, MI 48235 | 2012-10-17 |
| Find all providers in DETROIT | ||||
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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.