ST JOSEPH MERCY HOSPITAL-SMHC (NPI# 1467481713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467481713 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL-SMHC |
| Other Organization Name | ST JOSEPH MERCY OAKLAND |
| Practice Address |
44405 Woodward Ave Pontiac MI 48341-5023 |
| Practice Telephone | 2488583000 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | MR. MICHAEL P GUSHO (CFO) |
| Authorized Official Telephone | 2488586174 |
| Is Organization Subpart | Y |
| Parent Organization Name | TRINITY HEALTH MICHIGAN |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 630140 | MI | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 5172026 | 05 | |
| MI | 2786165 | 05 |
| Other Name | Type Code |
|---|---|
| St Joseph Mercy Oakland | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144735184 | St Joseph Mercy Hospital-smhc | Clinic/Center | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2017-12-13 |
| 1679501936 | St Joseph Mercy Hospital-smhc | Psychiatric Unit | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-06-28 |
| 1053356352 | St Joseph Mercy Hospital-smhc | General Acute Care Hospital | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-06-19 |
| Street Address |
44405 WOODWARD AVE |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598433 | Nicola Lynn Juzysta | Pharmacist | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2005-06-20 |
| 1598364911 | Briahnnon Long | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-10-19 |
| 1831705060 | Christopher Lopez | Emergency Medical Technician, Paramedic | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-09-22 |
| 1124645627 | Vikram Aiman Ayapati | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341 | 2020-06-30 |
| 1457978280 | Dilnaz Alam | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-27 |
| 1700402807 | Peter De Mola | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-24 |
| 1093331241 | Paul Young Mah | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1205452430 | Ali Khan | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-23 |
| 1326664624 | Brandon Christopher Merta | Registered Nurse | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2020-06-22 |
| 1154946051 | Molly Elizabeth Dwenger | Dentist | 44405 Woodward Ave, Medical Eduation - H23, Pontiac, MI 48341-5023 | 2020-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853543 | Mclaren Oakland | Rehabilitation Unit | 50 N Perry St, Pontiac, MI 48342-2217 | 2019-04-02 |
| 1811146863 | Pontiac General Hospital & Medical Center | Rehabilitation Unit | 461 W Huron St, Pontiac, MI 48341-1601 | 2008-09-15 |
| 1841449311 | Oakland Physicians Medical Center LLC | Rehabilitation Unit | 461 W Huron St, Rehabilitation Unit, Pontiac, MI 48341-1601 | 2008-09-09 |
| 1619037868 | Pontiac General Hospital & Medical Center | Rehabilitation Unit | 461 W Huron St, Rehabilitation Unit, Pontiac, MI 48341-1601 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902175805 | Martial Arts Therapy | Rehabilitation Unit | 7800 W Sharpe Rd, Fowlerville, MI 48836-8750 | 2011-12-21 |
| 1295965911 | Theracare Rehab,llc | Rehabilitation Unit | 42456 Cherry Hill Road, Canton, MI 48187-3401 | 2009-07-15 |
| 1063551281 | Universal Rehabilitation Services Inc | Rehabilitation Unit | 26250 Northwestern Hwy, Southfield, MI 48076-3903 | 2007-02-05 |
| 1023107877 | Henry Ford Health System | Rehabilitation Unit | 3601 E 11 Mile Rd, Warren, MI 48092-2878 | 2006-10-12 |
| 1336235498 | Henry Ford Health System | Rehabilitation Unit | 44800 Delco Blvd, Sterling Heights, MI 48313-1026 | 2006-10-05 |
| 1801844220 | Complete Care Rehab LLC | Rehabilitation Unit | 31370 Harper Ave, Saint Clair Shores, MI 48082-2450 | 2006-05-05 |
| 1477512424 | Edward W. Sparrow Hospital Association | Rehabilitation Unit | 1215 E. Michigan Avenue, Lansing, MI 48909-7980 | 2006-03-20 |
| 1801860218 | Mclaren Bay Region | Rehabilitation Unit | 3250 E Midland Rd, Bay City, MI 48706-2835 | 2006-02-14 |
| 1801866942 | St. John Hospital and Medical Center | Rehabilitation Unit | 26755 Ballard St, Harrison Twp, MI 48045-2419 | 2006-01-23 |
| 1598763385 | Tri-county Therapy Center, LLC Dba Valley Hill Therapy Center | Rehabilitation Unit | 43456 Mound Rd, Suite 500, Sterling Heights, MI 48314-2080 | 2005-07-14 |
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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.