ST. JOHN PROVIDENCE HEALTH SYSTEM (NPI# 1477967446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477967446 |
| Entity Type | Organization |
| Organization Name | ST. JOHN PROVIDENCE HEALTH SYSTEM |
| Practice Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Practice Telephone | 5867530054 |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |
| Authorized Official Name | MRS. DAWN KELEL (MANAGER) |
| Authorized Official Telephone | 5867530054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | MI | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154612745 | St. John Providence Health System | General Acute Care Hospital | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2011-04-29 |
| Street Address |
28000 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206168 | Lily Ann Marie Tencza | Psychiatry & Neurology | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2006-07-15 |
| 1598255788 | Vicki Sharma | Student in an Organized Health Care Education/Training Program | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2018-05-14 |
| 1235487257 | Allison Whiteside | Specialist/Technologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-08-23 |
| 1366702755 | St John Providence Partners In Care | Clinic/Center | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1588924971 | Carolyn Ann Hill | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1063772465 | Ruth Anne Didonato | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1477813715 | Linda A Caldwell | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1972879237 | Burton David Gottlieb | Social Worker | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-03-30 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| 1760708945 | St John Hospital and Medical Center | Audiologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865376 | Mercy Health Youngstown, LLC | General Acute Care Hospital | 627 Eastland Ave Se Ste 102, Warren, OH 44484-4501 | 2016-12-07 |
| 1629200589 | Henry Ford Hospital Macomb Warren Campus | General Acute Care Hospital | 11580 Metter Ave, Warren, MI 48089-3840 | 2009-08-11 |
| 1316157514 | Umdnj | General Acute Care Hospital | 27 Softwood Way, Warren, NJ 07059-6791 | 2007-05-23 |
| 1902842735 | Henry Ford Macomb Hospital Corporation | General Acute Care Hospital | 13355 East 10 Mile Rd, Warren, MI 48089-2048 | 2006-06-21 |
| 1962402354 | Southeast Michigan Surgical Hospital, LLC | General Acute Care Hospital | 21230 Dequindre Rd, Warren, MI 48091-2279 | 2005-07-28 |
| 1053844761 | Steward Trumbull Memorial Hospital, Inc. | General Acute Care Hospital | 1350 E Market St, Warren, OH 44483-6608 | 2017-04-10 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| 1154612745 | St. John Providence Health System | General Acute Care Hospital | 11800 E 12 Mile Rd, Warren, MI 48093-3472 | 2011-04-29 |
| 1043526023 | Warren Ohio Hospital Company LLC | General Acute Care Hospital | 1350 E Market St, Warren, OH 44483-6608 | 2010-08-27 |
| 1851539498 | Southfield Rehabilitation Company | General Acute Care Hospital | 11012 E 13 Mile Rd, Suite 111, Warren, MI 48093-2572 | 2009-02-04 |
| Find all providers in WARREN | ||||
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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.