SAINT JOSEPH MERCY LIVINGSTON HOSPITAL (NPI# 1356460323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356460323 |
| Entity Type | Organization |
| Organization Name | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL |
| Practice Address |
620 Byron Rd Pediatrics Howell MI 48843 |
| Mailing Address |
5301 E Huron River Dr Po Box 993, Mc 69504 Ypsilanti MI 48197-1051 |
| Practice Telephone | 5175456000 |
| Mailing Telephone | 7347123456 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GARRY FAJA (PRESIDENT CEO) |
| Authorized Official Telephone | 7347123791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| X | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497874531 | Saint Joseph Mercy Livingston Hospital | Emergency Medicine | 7575 Grand River, Urg Care, Brighton, MI 48114 | 2007-03-28 |
| 1457834657 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-13 |
| 1174038111 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 7575 Grand River Rd, Brighton, MI 48114-9309 | 2017-12-13 |
| 1306059811 | Saint Joseph Mercy Livingston Hospital | Psychologist | 2300 Genoa Business Park Dr, Suite 180, Brighton, MI 48114-7367 | 2007-05-08 |
| 1649399684 | Saint Joseph Mercy Livingston Hospital | Physician Assistant | 7575 Grand River, Urg Care, Brighton, MI 48114 | 2007-03-29 |
| 1922127976 | Saint Joseph Mercy Livingston Hospital | Nurse Anesthetist, Certified Registered | 620 Byron Rd, Howell, MI 48843-1002 | 2007-03-29 |
| 1912026964 | Saint Joseph Mercy Livingston Hospital | Nurse Anesthetist, Certified Registered | 7575 Grand River Rd, Amb Sur, Brighton, MI 48114-9309 | 2007-03-29 |
| 1285753236 | Saint Joseph Mercy Livingston Hospital | Family Medicine | 7575 Grand River, Brighton Urgent Care, Brighton, MI 48114-9309 | 2007-03-29 |
| 1730208778 | Saint Joseph Mercy Livingston Hospital | Family Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2007-03-29 |
| 1174642672 | Saint Joseph Mercy Livingston Hospital | Psychiatry & Neurology | 7960 W. Grand River, Suite 110, Brighton, MI 48116-6541 | 2007-03-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAINT JOSEPH MERCY LIVINGSTON HOSPITAL | 620 Byron Rd, Howell, MI 48843-1002 |
| Street Address |
620 BYRON RD PEDIATRICS |
| City | HOWELL |
| State | MI |
| Zip Code | 48843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927944 | Pamela M Eaton | Emergency Medicine | 620 Byron Rd, Howell, MI 48843-1002 | 2005-07-22 |
| 1801412861 | Mustafa Riyad Hussein | Student in an Organized Health Care Education/Training Program | 620 Byron Rd, Howell, MI 48843-1002 | 2020-06-24 |
| 1699314302 | Suzanne R Genyk | Dietitian, Registered | 620 Byron Rd, Howell, MI 48843-1002 | 2019-12-27 |
| 1215412226 | William Wakefield | Physical Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-26 |
| 1457834657 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-13 |
| 1982180030 | Robert Bunnell | Physical Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2018-07-12 |
| 1770002156 | Sandra Lynn Perry | Nurse Anesthetist, Certified Registered | 620 Byron Rd, Howell, MI 48843-1002 | 2017-09-16 |
| 1164942256 | Bryan Battjes | Occupational Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2017-06-21 |
| 1922528025 | Amanda Bowersox | Occupational Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2017-06-21 |
| 1295284628 | Danielle E. Hicks | Physical Therapist | 620 Byron Rd, Howell, MI 48843-1002 | 2016-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770050775 | Kaylee Primeau | Behavioral Analyst | 3292 Beck Rd, Howell, MI 48843 | 2018-10-28 |
| 1750869988 | Leanna Lynn Lopez | Occupational Therapist | 4286 Mcgunn Rd, Howell, MI 48843 | 2018-07-31 |
| 1942719133 | Tracey Ann Ulmer | Specialist | 622 Grand River, Howell, MI 48843 | 2017-09-20 |
| 1649792292 | Livingston Psychological Services, Pllc | Psychologist | 204 W Grand River Ave Ste 260, Howell, MI 48843 | 2017-07-14 |
| 1558817288 | Amy Binns | Technician, Other | 5280 Whistler Pt, Howell, MI 48843 | 2016-09-01 |
| 1033571112 | Diversified Counseling and Consulting Services, Pllc | Social Worker | 1004 S. Michigan Ave., Suite 203, Howell, MI 48843 | 2016-03-28 |
| 1174998801 | Level Eleven Howell | Clinic/Center | 1030 W. Highland Rd, Howell, MI 48843 | 2015-12-07 |
| 1285021170 | Frances Vitale | Behavioral Analyst | 308 Tullamore St, Howell, MI 48843 | 2015-04-19 |
| 1487059671 | Michigan Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd., Howell, MI 48843 | 2014-10-30 |
| 1720483027 | Assuredtrans Services, Inc. | Non-emergency Medical Transport (VAN) | 1800 Dorr Rd, Howell, MI 48843 | 2014-10-29 |
| Find all providers in zip 48843 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811473234 | Joyful Pediatrics, Pllc | Pediatrics | 820 Byron Rd Ste 600, Howell, MI 48843-1072 | 2018-07-18 |
| 1942620059 | Katherine Morgan Wilson | Pediatrics | 3399 East Grand River Ave, Suite 200, Howell, MI 48843-7555 | 2014-04-16 |
| 1770739005 | Dongsoo Kim | Pediatrics | 3101 Charann Dr, Howell, MI 48843-8612 | 2008-08-18 |
| 1144480872 | Lauren Marie Reed | Pediatrics | 711 Byron, Howell, MI 48843-1003 | 2008-06-16 |
| 1609048057 | Pediatric Health, Pa | Pediatrics | 4200 Route 9 S, Howell, NJ 07731-3316 | 2008-03-26 |
| 1518077445 | Pediatric Health, Pa | Pediatrics | 4537 Route 9 North, Howell, NJ 07731-3380 | 2006-08-30 |
| 1174531032 | Luis T Manlapid | Pediatrics | 700 Candlewood Commons, Howell, NJ 07731 | 2006-08-04 |
| 1508807454 | Elizabeth Mariano-lau | Pediatrics | 5140 Route 9 South, Howell, NJ 07731 | 2006-06-10 |
| 1881631729 | Elenito Maddatu | Pediatrics | 70 Ramtown Greenville Rd, Howell, NJ 07731-3830 | 2006-05-31 |
| 1285687939 | Cheryl Wickham | Pediatrics | 3399 E Grand River Ave Ste 202, Howell, MI 48843-7555 | 2006-05-17 |
| Find all providers in HOWELL | ||||
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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.