ASCENSION ST JOHN HOSPITAL (NPI# 1295705945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295705945 |
| Entity Type | Organization |
| Organization Name | ASCENSION ST JOHN HOSPITAL |
| Other Organization Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Practice Address |
22101 Moross Detroit MI 48236 |
| Mailing Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 3133434000 |
| Mailing Telephone | 5867530260 |
| Mailing Fax Number | 5867530340 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-07-01 |
| Authorized Official Name | DR. KEVIN GRADY (PRESIDENT) |
| Authorized Official Telephone | 3134347676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| St John Hospital and Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088168 | Ascension St John Hospital | Clinic/Center | 22101 Moross, Detroit, MI 48236 | 2006-01-23 |
| 1114366333 | Ascension St John Hospital | Nurse Practitioner | 22101 Moross Rd, Detroit, MI 48236-2148 | 2013-06-20 |
| 1376820605 | Ascension St John Hospital | Internal Medicine | 1202 Walton Blvd, Suite 201, Rochester, MI 48307-6917 | 2011-11-15 |
| 1922397058 | Ascension St John Hospital | Internal Medicine | 22301 Foster Winter Dr, 2n Floor, Southfield, MI 48075-3707 | 2011-03-29 |
| 1457663197 | Ascension St John Hospital | Family Medicine | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2010-07-10 |
| 1023335544 | Ascension St John Hospital | Rehabilitation Unit | 22101 Moross Rd, Detroit, MI 48236-2148 | 2010-04-23 |
| 1285893727 | Ascension St John Hospital | Obstetrics & Gynecology | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
| 1043478910 | Ascension St John Hospital | Podiatrist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2008-05-28 |
| 1396876256 | Ascension St John Hospital | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-09 |
| 1023149473 | Ascension St John Hospital | Clinic/Center | 22101 Moross Rd, Detroit, MI 48236-2148 | 2007-03-08 |
| Street Address |
22101 MOROSS |
| City | DETROIT |
| State | MI |
| Zip Code | 48236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023088168 | Ascension St John Hospital | Clinic/Center | 22101 Moross, Detroit, MI 48236 | 2006-01-23 |
| 1134601586 | Jennifer Modina Roque | Registered Nurse | 22101 Moross, Detroit, MI 48236 | 2018-09-02 |
| 1922158450 | Rose Satterwhite | Social Worker | 22101 Moross, Detroit, MI 48236 | 2007-01-10 |
| 1629032636 | Kellie Martin | Nurse Anesthetist, Certified Registered | 22101 Moross, Detroit, MI 48226 | 2006-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
| 1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
| 1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
| 1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
| 1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
| 1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
| 1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
| 1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
| Find all providers in zip 48236 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255748307 | Henry Ford Health System | Psychiatric Unit | 1 Ford Pl, Detroit, MI 48202-3450 | 2014-07-21 |
| 1578875258 | Vhs Harper-hutzel Hospital Inc | Psychiatric Unit | 3990 John R St, Detroit, MI 48201-2018 | 2010-07-09 |
| 1396057071 | Vhs Detroit Receiving Hospital Inc | Psychiatric Unit | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2010-07-09 |
| 1588976260 | Vhs Sinai-grace Hospital Inc | Psychiatric Unit | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2010-07-09 |
| 1528129608 | Harper-hutzel Hospital | Psychiatric Unit | 3990 John R St, Detroit, MI 48201-2018 | 2006-12-13 |
| 1528022118 | Sinai Hospital of Greater Detroit | Psychiatric Unit | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2006-04-12 |
| 1740244334 | Detroit Receiving Hospital | Psychiatric Unit | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982983094 | Senior Psychiatric Hospitalists of Mi, Pllc | Psychiatric Unit | 3572 Empire State Dr, Canton, MI 48188-8202 | 2011-08-07 |
| 1841591260 | Growing Counseling Services, LLC | Psychiatric Unit | 446 Tobin Dr, 311, Inkster, MI 48141-3557 | 2010-11-17 |
| 1548426372 | Gloria Carr | Psychiatric Unit | 404 Velvet Ave, Portage, MI 49002-7050 | 2008-07-31 |
| 1356370522 | Advanced Counseling Services | Psychiatric Unit | 6223 N Canton Center Rd, Ste. 210, Canton, MI 48187-2696 | 2006-07-01 |
| 1669431292 | Edward W. Sparrow Hospital Association | Psychiatric Unit | 1210 W. Saginaw Street, Lansing, MI 48912-1999 | 2006-03-22 |
| 1831179837 | Mclaren Greater Lansing | Psychiatric Unit | 2727 S Penn Ave, Lansing, MI 48910-3488 | 2006-01-18 |
| 1003892092 | Ascension Providence Hospital | Psychiatric Unit | 16001 W. 9 Mile Road, Southfield, MI 48075-4818 | 2005-12-21 |
| 1265426704 | Healthsource Saginaw Inc | Psychiatric Unit | 3340 Hospital Rd, Saginaw, MI 48603-9622 | 2005-09-09 |
| 1407480247 | Prime Healthcare Services - Garden City, LLC | Psychiatric Unit | 6245 Inkster Rd, Garden City, MI 48135-4001 | 2020-03-02 |
| 1114348695 | Common Ground | Psychiatric Unit | 461 W Huron St, Pontiac, MI 48341-1601 | 2013-12-30 |
| Find all providers with the same taxonomy | ||||
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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.