ASCENSION MACOMB OAKLAND HOSPITAL (NPI# 1124099858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124099858 |
| Entity Type | Organization |
| Organization Name | ASCENSION MACOMB OAKLAND HOSPITAL |
| Other Organization Name | ST. JOHN MACOMB OAKLAND HOSPITAL-WARREN CAMPUS |
| Practice Address |
11800 E 12 Mile Rd Warren MI 48093 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 5865735000 |
| Mailing Telephone | 2486808000 |
| Mailing Fax Number | 5867530340 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2020-03-31 |
| Authorized Official Name | TERENCE HAMILTON (PRESIDENT) |
| Authorized Official Telephone | 5865735904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS PIN | 00048 | 01 |
| Other Name | Type Code |
|---|---|
| St. John Macomb Oakland Hospital-Warren Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356775001 | Ascension Macomb Oakland Hospital | Internal Medicine | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2013-08-29 |
| 1548609761 | Ascension Macomb Oakland Hospital | Social Worker | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2013-06-20 |
| 1720390453 | Ascension Macomb Oakland Hospital | Internal Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2010-07-10 |
| 1083872923 | Ascension Macomb Oakland Hospital | Emergency Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2008-05-28 |
| 1518124320 | Ascension Macomb Oakland Hospital | Internal Medicine | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2008-05-20 |
| 1871793505 | Ascension Macomb Oakland Hospital | Nurse Anesthetist, Certified Registered | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-07-20 |
| 1427251420 | Ascension Macomb Oakland Hospital | Psychiatric Unit | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-07 |
| 1215139233 | Ascension Macomb Oakland Hospital | General Acute Care Hospital | 27351 Dequindre Rd, Madison Heights, MI 48071-3487 | 2007-06-01 |
| 1578696092 | Ascension Macomb Oakland Hospital | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2007-03-13 |
| 1114962461 | Ascension Macomb Oakland Hospital | Neurological Surgery | 27450 Schoenherr Rd, Suite 200, Warren, MI 48088-6683 | 2006-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ASCENSION MACOMB OAKLAND HOSPITAL | 11800 E 12 Mile Rd, Warren, MI 48093-3472 |
| Street Address |
11800 E 12 MILE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280940 | Manisha Kaur Bajwa | Pharmacist | 11800 E 12 Mile Rd, Pharmacy Department, Warren, MI 48093-3472 | 2005-07-28 |
| 1679181986 | Roxana Lionte | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-07-22 |
| 1649893355 | Patrick Yang | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-28 |
| 1831711936 | Elisheva Ellenberg | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-05-12 |
| 1427686716 | Pavan Kumar Ravipati | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-31 |
| 1962038885 | Natasha Mehta | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-23 |
| 1194350645 | Katherine Sara Streidl | Nurse Anesthetist, Certified Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-03-05 |
| 1891326898 | Clara Poparad-stezar | Student in an Organized Health Care Education/Training Program | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2020-01-28 |
| 1023653797 | Lauren Ashley Shailor | Nurse Practitioner | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-11-16 |
| 1700428984 | Olivia Lynn Hedman | Dietitian, Registered | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2019-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615986 | Toleka Regina Taylor | Nurse Anesthetist, Certified Registered | St. John Macomb Hospital, 11800 East 12 Mile Road, Warren, MI 48093 | 2020-10-05 |
| 1679112676 | Open Heart Communities | Case Management | 31310 Shaw Dr, Warren, MI 48093 | 2019-12-23 |
| 1538715636 | 3 Dove Medical Supplies | Durable Medical Equipment & Medical Supplies | 31201 Chicago Rd S Ste C101, Warren, MI 48093 | 2019-08-14 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1730686197 | Lambro Seremetis | Social Worker | 12200 E. 12 Mile Road, Ste. 200, Warren, MI 48093 | 2018-04-11 |
| 1649775826 | Ridge Downs | Behavioral Analyst | 31201 Chicago Rd South, Suite C- 202, Warren, MI 48093 | 2018-03-28 |
| 1144722737 | Jessica Farraj | Occupational Therapist | 11800 E. 12 Mile Road, Warren, MI 48093 | 2018-02-28 |
| 1265930168 | Leah Hanrahan | Registered Nurse | 11700 Amberle Dr., Warren, MI 48093 | 2018-01-25 |
| 1598271553 | Pamela Marie Confer | Occupational Therapist | 11012 13 Mile Rd, Suite 200, Warren, MI 48093 | 2017-12-28 |
| 1831604347 | Kate Jeanne Szczepanski | Behavior Technician | 31200 Chicago Rd S, Warren, MI 48093 | 2017-12-06 |
| Find all providers in zip 48093 | ||||
| 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 |
|---|---|---|---|---|
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1629200589 | Henry Ford Hospital Macomb Warren Campus | General Acute Care Hospital | 11580 Metter Ave, Warren, MI 48089-3840 | 2009-08-11 |
| 1316157514 | Umdnj | General Acute Care Hospital | 27 Softwood Way, Warren, NJ 07059-6791 | 2007-05-23 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1053844761 | Steward Trumbull Memorial Hospital, Inc. | General Acute Care Hospital | 1350 E Market St, Warren, OH 44483-6608 | 2017-04-10 |
| 1477967446 | St. John Providence Health System | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2014-06-17 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| 1154612745 | St. John Providence Health System | General Acute Care Hospital | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2011-04-29 |
| 1043526023 | Warren Ohio Hospital Company LLC | General Acute Care Hospital | 1350 E Market St, Warren, OH 44483-6608 | 2010-08-27 |
| Find all providers in WARREN | ||||
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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.