ST JOSEPH HEALTH SYSTEM INC (NPI# 1285918409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285918409 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HEALTH SYSTEM INC |
| Other Organization Name | ST JOSEPH SPECIALTY SERVICES WEST |
| Practice Address |
621 Court St Suite 106 West Branch MI 48661-8767 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9893455200 |
| Practice Fax Number | 9893455201 |
| Mailing Telephone | 9893629411 |
| Mailing Fax Number | 9893624683 |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-10 |
| Authorized Official Name | MRS. DONNA SANFORD (CONTROLLER) |
| Authorized Official Telephone | 9893620181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ST JOSEPH SPECIALTY SERVICES WEST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508183369 | St Joseph Health System Inc | Urology | 110 E State St, East Tawas, MI 48730-1328 | 2010-05-03 |
| 1871810523 | St Joseph Health System Inc | Urology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-04-21 |
| 1396997045 | St Joseph Health System Inc | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2008-10-14 |
| 1356503338 | St Joseph Health System Inc | Physician Assistant | 110 Beech St Ste B, Tawas City, MI 48763-8314 | 2008-06-30 |
| 1447331434 | St Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2006-10-18 |
| 1689662421 | St Joseph Health System Inc | Clinic/Center | 106 Division St, Oscoda, MI 48750-1607 | 2005-10-06 |
| Street Address |
621 COURT ST SUITE 106 |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-8767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427007608 | Keven C Schattner Do PC | Surgery | 621 Court St, West Branch, MI 48661 | 2006-05-08 |
| 1699116285 | Lisa Marie James | Physical Therapist | 621 Court St, Suite 101, West Branch, MI 48661-8767 | 2013-07-11 |
| 1740597798 | Alissa D Clouse | Physical Therapist | 621 Court St, Ste 101, West Branch, MI 48661-8767 | 2010-09-10 |
| 1487983680 | Patrick M Morse Md PC | PACE Provider Organization | 621 Court St, Suite 104, West Branch, MI 48661-8767 | 2009-12-17 |
| 1518032671 | Pinnacle Rehabilitation and Personal Training P C | Physical Therapist | 621 Court St, Ste 101, West Branch, MI 48661-8767 | 2006-11-22 |
| 1376644195 | Alan Lee Withers | Physical Therapist | 621 Court St, Ste 101, West Branch, MI 48661-9390 | 2006-09-26 |
| 1417058231 | William R Pourcho | Physical Therapist | 621 Court St, Ste 101, West Branch, MI 48661-9390 | 2006-09-26 |
| 1861593691 | David Russell Arndt | Physical Therapist | 621 Court St, Ste 101, West Branch, MI 48661-9390 | 2006-09-26 |
| 1144244500 | Sharon Agnes Levandowski | Internal Medicine | 621 Court St, Ste# 105, West Branch, MI 48661-8767 | 2006-07-27 |
| 1194741975 | Patrick Michael Morse | Orthopaedic Surgery | 621 Court St, Suite 104, West Branch, MI 48661-8767 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
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|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
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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.