ST JOSEPH MERCY HOSPITAL (NPI# 1730207580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730207580 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH MERCY HOSPITAL |
| Practice Address |
111 N Huron St Suite 200 Ypsilanti MI 48197-2676 |
| Mailing Address |
34505 W 12 Mile Rd Ste 200 Farmington Hills MI 48331-3286 |
| Practice Telephone | 7345477977 |
| Mailing Telephone | 7343433922 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2017-10-05 |
| Authorized Official Name | MICHAEL P GUSHO (CFO SE MI REGION) |
| Authorized Official Telephone | 2488586174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BS BCN HABP | 110H111120 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023432309 | St Joseph Mercy Hospital | Clinic/Center | 7025 E Michigan Ave, Saline, MI 48176-9479 | 2014-02-07 |
| 1174720080 | St Joseph Mercy Hospital | Rehabilitation, Substance Use Disorder Unit | 5401 Mcauley Drive, Ypsilanti, MI 48197-1011 | 2007-07-03 |
| 1588870984 | St Joseph Mercy Hospital | Psychologist | 5401 Mcauley Dr, Ypsilanti, MI 48197-1011 | 2007-05-15 |
| 1508985045 | St Joseph Mercy Hospital | Family Medicine | 111 N Huron Street, Suite D225, Ypsilanti, MI 48197-1051 | 2007-03-28 |
| 1063517472 | St Joseph Mercy Hospital | General Acute Care Hospital | 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197-1099 | 2006-09-13 |
| 1780658443 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 5301 Huron River Drive, Ypsilanti, MI 48197-1051 | 2006-02-17 |
| 1134729114 | St Joseph Mercy Hospital | General Acute Care Hospital | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2020-10-28 |
| 1871052225 | St Joseph Mercy Hospital | Clinic/Center | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2019-03-15 |
| 1073029211 | St Joseph Mercy Hospital | Clinic/Center | 1600 S Canton Center Rd, Canton, MI 48188-1992 | 2017-12-26 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| Street Address |
111 N HURON ST SUITE 200 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891722740 | Suzette D Lavigne | Internal Medicine | 111 N Huron St, Suite 200, Ypsilanti, MI 48197-2676 | 2006-06-27 |
| 1023632247 | Xanthia Tucker | Student in an Organized Health Care Education/Training Program | 111 N Huron St, Ypsilanti, MI 48197-2676 | 2020-06-03 |
| 1992329197 | Aidan Berry | Student in an Organized Health Care Education/Training Program | 111 N Huron St, Ypsilanti, MI 48197-2676 | 2020-06-03 |
| 1558921825 | Allison Bloom | Student in an Organized Health Care Education/Training Program | 111 N Huron St, Ypsilanti, MI 48197-2676 | 2019-06-18 |
| 1316379936 | Iha Health Services Corporation | Internal Medicine | 111 N Huron St, Suite 200, Ypsilanti, MI 48197-2676 | 2013-08-06 |
| 1952507055 | Bassel H Atasi | Internal Medicine | 111 N Huron St, Ste 200, Ypsilanti, MI 48197-2676 | 2007-06-25 |
| 1336359462 | Sara Ann Platte | Internal Medicine | 111 N Huron St, Suite #200, Ypsilanti, MI 48197-2676 | 2007-05-24 |
| 1114045960 | St Joseph Mercy Hospital | Obstetrics & Gynecology | 111 N Huron St, Suite 203, Ypsilanti, MI 48197-2676 | 2007-03-27 |
| 1417976622 | Patricia Mcnally | Internal Medicine | 111 N Huron St, Suite #200, Ypsilanti, MI 48197-2676 | 2006-07-19 |
| 1740208693 | Wallace Christy | Internal Medicine | 111 N Huron St, Suite #203, Ypsilanti, MI 48197-2676 | 2006-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659627321 | Alex Eskander Moyyad | Internal Medicine | 8277 S. Huron River Drive, Alex E Moyyad, M.d., Ypsilanti, MI 48197 | 2012-07-31 |
| 1033476189 | Kashyap Babubhai Patel | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Academic Internal Medicine, Ypsilanti, MI 48197-8633 | 2012-04-13 |
| 1629201827 | Phillip Webb Dooley Jr. | Internal Medicine | 9665 E Hereford Dr, Ypsilanti, MI 48197-1874 | 2009-09-03 |
| 1700049210 | Ann Cotcamp Wilkie | Internal Medicine | 5301 Mcauley Drive, Ypsilanti, MI 48197-5368 | 2008-07-03 |
| 1669650867 | Margaret Balemba Mekai Vekima | Internal Medicine | 5429 Whittaker Rd, Ypsilanti, MI 48197-9751 | 2008-02-11 |
| 1033313473 | Adelina W Herrero Md PC | Internal Medicine | 316 Ecorse Rd Ste 100, Ypsilanti, MI 48198-5732 | 2007-06-11 |
| 1821214925 | Jean Butler Cederna | Internal Medicine | 103 Arnet St, Ypsilanti, MI 48198-5706 | 2007-04-17 |
| 1699817833 | Binju Joel | Internal Medicine | 3145 W Clark Rd Ste 401, Ypsilanti, MI 48197-1120 | 2007-02-13 |
| 1740340264 | Adelina W Herrero | Internal Medicine | 107 Ferris St, Ypsilanti, MI 48197-5412 | 2006-12-12 |
| 1285651240 | Therese Benevich | Internal Medicine | 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197-0860 | 2006-07-16 |
| Find all providers in YPSILANTI | ||||
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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.