ASCENSION MEDICAL GROUP MICHIGAN (NPI# 1548433626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548433626 |
| Entity Type | Organization |
| Organization Name | ASCENSION MEDICAL GROUP MICHIGAN |
| Practice Address |
4014 River Rd 3b East China MI 48054-2916 |
| Mailing Address |
43800 Garfield Rd 200 Clinton Township MI 48038-1136 |
| Practice Telephone | 8103294779 |
| Practice Fax Number | 8103297860 |
| Mailing Telephone | 5862284635 |
| Mailing Fax Number | 5862284520 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | MARTHS E JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 2486808004 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 51011604 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801992557 | Ascension Medical Group Michigan | Podiatrist | 13935 Plumbrook Rd, Sterling Heights, MI 48312-1727 | 2006-09-16 |
| 1770984601 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 19229 Mack Ave, Suite 27, Grosse Pointe Woods, MI 48236-2858 | 2014-09-10 |
| 1871913228 | Ascension Medical Group Michigan | Clinical Medical Laboratory | 1901 Star Batt Dr, Rochester Hills, MI 48309-3712 | 2014-04-24 |
| 1851732226 | Ascension Medical Group Michigan | Family Medicine | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2013-07-12 |
| 1316197502 | Ascension Medical Group Michigan | Internal Medicine | 2033 Crooks Rd, Royal Oak, MI 48073-4049 | 2008-09-24 |
| 1629272968 | Ascension Medical Group Michigan | Dentist | 22201 Moross Rd, Detroit, MI 48236-2169 | 2007-06-12 |
| 1730380254 | Ascension Medical Group Michigan | Family Medicine | 37771 Schoenherr Rd, Suite 104, Sterling Heights, MI 48312-2302 | 2007-05-31 |
| 1114133485 | Ascension Medical Group Michigan | Pediatrics | 2800 Livernois Rd, Suite 500, Troy, MI 48083-1215 | 2007-05-15 |
| 1144436411 | Ascension Medical Group Michigan | Nurse Practitioner | 42645 Garfield Rd, Clinton Township, MI 48038-5022 | 2007-05-15 |
| 1588737266 | Ascension Medical Group Michigan | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2006-11-17 |
| Street Address |
4014 RIVER RD 3B |
| City | EAST CHINA |
| State | MI |
| Zip Code | 48054-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010360 | Lauri B. Conroy | Internal Medicine | 4014 River Rd, Building 6, East China, MI 48054-2916 | 2005-06-01 |
| 1003367426 | Alan David Berg | Surgery | 4014 River Rd, Building 3b, East China, MI 48054-2916 | 2016-10-20 |
| 1699136218 | Marie Elizabeth Teschler | Nurse Practitioner | 4014 River Rd, East China, MI 48054 | 2016-03-09 |
| 1902225857 | University Neurosurgical Associates | Neurological Surgery | 4014 River Rd, Ste 2b, East China, MI 48054-2916 | 2014-04-08 |
| 1831186550 | Harold Lee Bacheldor Jr. | Family Medicine | 4014 River Rd, Building 6, East China, MI 48054-2916 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1427400605 | Morgan Conlon Scallen | Technician, Other | 5494 St. Clair Hwy., China Twp., MI 48054 | 2016-07-12 |
| 1639586910 | Jessica Scholey | Obstetrics & Gynecology | 4150 River Rd., Suite D, East China, MI 48054 | 2014-07-17 |
| 1215075064 | Gordon Carl Charlton | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-02 |
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1861415754 | Thomas Gordon Wayne | Family Medicine | 4150 S River Rd, Ste F1, East China, MI 48054 | 2006-07-25 |
| 1588634620 | Cory D Zieger | Orthopaedic Surgery | 4150 River Rd Ste C, East China, MI 48054 | 2006-01-23 |
| 1831194992 | Kenneth Son | Internal Medicine | 4100 River Rd, Acute Care Dept., East China, MI 48054 | 2005-06-16 |
| 1184055394 | St. Clair Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 4154 S River Rd, East China, MI 48054 | 2013-12-13 |
| 1417091141 | China Township Family Dentistry | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-16 |
| Find all providers in zip 48054 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1003367426 | Alan David Berg | Surgery | 4014 River Rd, Building 3b, East China, MI 48054-2916 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475237 | Dr Dayhim Pllc | Surgery | 12203 Shearwater Cir, Commerce Township, MI 48390-4260 | 2020-07-28 |
| 1922624923 | Dr Anthony Joseph Md Pllc | Surgery | 2330 S Milford Rd Ste 120, Highland, MI 48357-4982 | 2020-06-25 |
| 1316563646 | Shelley Gabel | Surgery | 1200 E Michigan Ave., Sparrow Professional Building Suite 655, Lansing, MI 48912 | 2020-06-23 |
| 1922623081 | Joon B Kim | Surgery | 1200 Michigan Ave Ste 655, East Lansing, MI 48823-4099 | 2020-06-14 |
| 1932724101 | Alec Jerry Raniwsky | Surgery | 22250 Providence Drive 7pmb Suite #703a, Southfield, MI 48075-4825 | 2020-06-12 |
| 1184245771 | Upper Michigan Associates LLC | Surgery | 1414 W Fair Ave Ste 235, Marquette, MI 49855-5406 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1487275509 | Erika C Michelin | Surgery | 28080 Grand River Ave Ste 208, Farmington Hills, MI 48336-5966 | 2020-04-29 |
| 1063047629 | Suzanne A. Law, D.o., P.C. | Surgery | G4007 W Court St Ste E, Flint, MI 48532-3560 | 2020-03-04 |
| 1801454871 | Dakita Mack | Surgery | 28050 Grand River Ave Ste 208n, Farmington Hills, MI 48336-5919 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHINA |
| Zip Code | 48054 |
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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.