ST JOHN NORTH SHORES EMERGENCY PHYSICIANS, P. C. (NPI# 1376613638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376613638 |
| Entity Type | Organization |
| Organization Name | ST JOHN NORTH SHORES EMERGENCY PHYSICIANS, P. C. |
| Practice Address |
26755 Ballard St Emergency Department Harrison Township MI 48045-2419 |
| Mailing Address |
17717 Masonic Fraser MI 48026-3158 |
| Practice Telephone | 5864655501 |
| Mailing Telephone | 8005315788 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | DR. JAMES M FOX (VICE PRESIDENT) |
| Authorized Official Telephone | 8005315788 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
26755 BALLARD ST EMERGENCY DEPARTMENT |
| City | HARRISON TOWNSHIP |
| State | MI |
| Zip Code | 48045-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043478910 | Ascension St John Hospital | Podiatrist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2008-05-28 |
| 1245446541 | Beatrice A Erdos | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-05-15 |
| 1558576504 | Mary Ellen Mclain | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-05-13 |
| 1740312685 | St John Hospital and Medical Center | Nurse Anesthetist, Certified Registered | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-03-09 |
| 1295867133 | St. John North Shores Hospital | Clinic/Center | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-03-09 |
| 1598811614 | Jennifer Litzenberg | Specialist/Technologist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-01-25 |
| 1255484382 | Leslie Ellen Mcgill-mayotte | Registered Nurse | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2007-01-20 |
| 1245339290 | Carla Elyse Shock | Nurse Practitioner | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2006-09-22 |
| 1477669224 | Shirley Sayles | Pharmacist | 26755 Ballard St, Harrison Township, MI 48045-2419 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447602040 | Integrated Solution LLC | Social Worker | 24791 Parkside St., Apt. 206, Harrison Township, MI 48045 | 2016-07-07 |
| 1598908352 | Andrew Frank Langlois | Pharmacist | 28350 S.river Rd, Harrison Twp, MI 48045 | 2009-04-09 |
| 1629241559 | Brandon Charles Holda | Technician, Other | 43401 N. Jefferson Bldg #825, Selfridge Angb, MI 48045 | 2008-04-11 |
| 1902022601 | Detroit Uscg Phcy | Military/U.S. Coast Guard Pharmacy | 43355 North Jefferson, Uscg Clinic - Bldg 825, Detroit, MI 48045 | 2007-04-18 |
| 1477620755 | Uscg Clinic Sector Detroit | Clinic/Center | 43401 N. Jefferson, Bldg 825, Selfridge Angb, MI 48045 | 2006-11-29 |
| 1568561983 | Ireland Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 410 Mitchell, Selfridge Air Base, MI 48045 | 2006-09-22 |
| 1477661700 | Bridgeview Chiropractic Center | Chiropractor | 28326 S River Rd, Harrison Twp, MI 48045 | 2006-08-28 |
| 1851362586 | St. John Hospital and Medical Center | General Acute Care Hospital | 26755 Ballard Road, Harrison Township, MI 48045 | 2006-01-31 |
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| 1265467682 | Venkateswara Rao Malineni | Psychiatry & Neurology | 215 North Ave, St Joseph Specialty Hospital 215, Mt Clemens, MI 48045 | 2006-07-12 |
| Find all providers in zip 48045 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013256296 | Mclaren Macomb | Emergency Medicine | 39833 Bridgeview St, Harrison Township, MI 48045 | 2013-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
| Find all providers with the same taxonomy | ||||
| City | HARRISON TOWNSHIP |
| Zip Code | 48045 |
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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.