ST JOSEPH HEALTH SYSTEM INC (NPI# 1508183369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508183369 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH HEALTH SYSTEM INC |
| Other Organization Name | ST JOSEPH UROLOGY CENTER |
| Practice Address |
110 E State St East Tawas MI 48730-1328 |
| Mailing Address |
Po Box 779 Tawas City MI 48764-0779 |
| Practice Telephone | 9893629491 |
| Mailing Telephone | 9893620153 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | DONNA SANFORD (CONTROLLER) |
| Authorized Official Telephone | 9893620181 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| St Joseph Urology Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918409 | St Joseph Health System Inc | Obstetrics & Gynecology | 621 Court St, Suite 106, West Branch, MI 48661-8767 | 2011-10-06 |
| 1871810523 | St Joseph Health System Inc | Urology | 200 Hemlock St, Tawas City, MI 48763-9237 | 2010-04-21 |
| 1396997045 | St Joseph Health System Inc | Nurse Practitioner | 200 Hemlock St, Tawas City, MI 48763-9237 | 2008-10-14 |
| 1356503338 | St Joseph Health System Inc | Physician Assistant | 110 Beech St Ste B, Tawas City, MI 48763-8314 | 2008-06-30 |
| 1447331434 | St Joseph Health System Inc | Nurse Anesthetist, Certified Registered | 200 Hemlock, Tawas City, MI 48763 | 2006-10-18 |
| 1689662421 | St Joseph Health System Inc | Clinic/Center | 106 Division St, Oscoda, MI 48750-1607 | 2005-10-06 |
| Street Address |
110 E STATE ST |
| City | EAST TAWAS |
| State | MI |
| Zip Code | 48730-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508979667 | Merrilee R Brandt Md PC | Specialist | 110 E State St, East Tawas, MI 48730-1328 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144790775 | Sarah Jan Feinauer | Behavior Technician | 421 Evans St, East Tawas, MI 48730 | 2018-11-27 |
| 1154863678 | Dustin Lee Bayn | Technician, Other | 304 West Bay St, East Tawas, MI 48730 | 2016-11-15 |
| 1205227188 | Michelle St. Aubin | Speech-Language Pathologist | 1691 E Us 23 Ste 4, East Tawas, MI 48730 | 2015-02-12 |
| 1871751354 | John Rodney Lixey | Chiropractor | 310 W Bay St, East Tawas, MI 48730 | 2008-05-30 |
| 1447387709 | Dianne B Webb | Psychologist | 1200 Tawas Beach Rd, East Tawas, MI 48730 | 2007-02-27 |
| 1215029350 | Daniel C Smith | Optometrist | 1691 N Us 23, Suite 2, E Tawas, MI 48730 | 2006-09-28 |
| 1023022936 | Jcs Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1704 East Huron Road, East Tawas, MI 48730 | 2006-07-28 |
| 1477520377 | S. Fountain's Inc | Pharmacy | 133 Newman St, East Tawas, MI 48730 | 2006-03-01 |
| 1124019674 | Richard Paul Payea | Family Medicine | 1195 Tawas Beach Rd, East Tawas, MI 48730 | 2005-11-03 |
| 1477543346 | Duane D Harrison | Allergy & Immunology | 1691 E. Us 23, Suite 5, East Tawas, MI 48730 | 2005-10-24 |
| Find all providers in zip 48730 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477488 | Munson Healthcare Charlevoix Hospital | Urology | 11695 Park Ave, Suite A, Charlevoix, MI 49720 | 2020-11-06 |
| 1396235610 | Munson Medical Center | Urology | 405 N Division Rd Ste 2, Petoskey, MI 49770-9046 | 2018-05-11 |
| 1770072498 | Bellin Health Iron Mountain Inc | Urology | 1005 S Hemlock St Ste B, Iron Mountain, MI 49801-3854 | 2018-05-08 |
| 1205215621 | Alexander David Tapper | Urology | 44200 Woodward Ave Ste 207, Pontiac, MI 48341-5045 | 2015-05-19 |
| 1912324211 | Boston Medical Group, P.C. | Urology | 24901 Northwestern Hwy., Suite 615, Southfield, MI 48075 | 2014-03-25 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1609213636 | Arya Khatiwoda | Urology | 2900 Hannah Blvd Ste 104, East Lansing, MI 48823-5380 | 2013-05-31 |
| 1003179730 | Kalen Jacob Rimar | Urology | 130 Town Center Dr Ste 101, Troy, MI 48084 | 2012-06-18 |
| 1780955294 | Harry Nicholas Kotsis | Urology | 265 Touraine Rd, Grosse Pointe Farms, MI 48236-3308 | 2012-01-16 |
| 1750678264 | Michael Kozminski | Urology | 245 Cherry St Se Ste 202, Grand Rapids, MI 49503-4607 | 2011-07-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST TAWAS |
| Zip Code | 48730 |
Please comment or provide details below to improve the information on ST JOSEPH HEALTH SYSTEM INC.
| 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.