SJMH MEDICAL PRACTICE (NPI# 1740382183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740382183 |
| Entity Type | Organization |
| Organization Name | SJMH MEDICAL PRACTICE |
| Practice Address |
44555 Woodward Ave Suite 105 Pontiac MI 48341-5031 |
| Mailing Address |
44428 Woodward Ave Lower Level Pontiac MI 48341-5009 |
| Practice Telephone | 2488586773 |
| Practice Fax Number | 2488583921 |
| Mailing Telephone | 2488586144 |
| Mailing Fax Number | 2488586232 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JACK WEINER (CEO) |
| Authorized Official Telephone | 2488583140 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720180169 | Sjmh Medical Practice | Psychiatry & Neurology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1639271075 | Sjmh Medical Practice | Nurse Practitioner | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1245332683 | Sjmh Medical Practice | Family Medicine | 44405 Woodward Ave, Suite 202, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1154423598 | Sjmh Medical Practice | Pediatrics | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1063514404 | Sjmh Medical Practice | Internal Medicine | 44555 Woodward Ave, Suite 402, Pontiac, MI 48341-5031 | 2006-09-05 |
| 1972605319 | Sjmh Medical Practice | Internal Medicine | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-09-05 |
| 1376654459 | Sjmh Medical Practice | Obstetrics & Gynecology | 1812 S Rochester Rd, Rochester Hills, MI 48307-3532 | 2006-08-31 |
| Street Address |
44555 WOODWARD AVE SUITE 105 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379758 | Donald Dino Bignotti | Family Medicine | 44555 Woodward Ave, Suite 402, Pontiac, MI 48341-5031 | 2005-07-12 |
| 1477002236 | Bloomfield Heart Center Pllc | Internal Medicine | 44555 Woodward Ave, Suite 403, Pontiac, MI 48341-5031 | 2016-09-22 |
| 1699124503 | Stroke Team One | Psychiatry & Neurology | 44555 Woodward Ave, Suite 104, Pontiac, MI 48341-5031 | 2016-06-10 |
| 1164800843 | Vincent James Krolikowski | Nurse Practitioner | 44555 Woodward Ave, Ste. 302, Pontiac, MI 48341-5031 | 2015-05-13 |
| 1699180505 | David Bracho | Anesthesiology | 44555 Woodward Ave, St. Joseph Mercy Oakland Mob Room 308, Pontiac, MI 48341-5031 | 2014-06-30 |
| 1538570189 | Reem Almuqati | Student in an Organized Health Care Education/Training Program | 44555 Woodward Ave, Suite 308, Pontiac, MI 48341-5031 | 2014-05-16 |
| 1083983498 | Kidney Center of Michigan | Internal Medicine | 44555 Woodward Ave, Suite 404, Pontiac, MI 48341-5031 | 2011-12-14 |
| 1740577170 | Ronald L Vandermolen | Surgery | 44555 Woodward Ave, Suite 501, Pontiac, MI 48341-5031 | 2011-07-06 |
| 1194011643 | Oakland Digestive Disease,pllc | Specialist | 44555 Woodward Ave, Ste 304, Pontiac, MI 48341-5035 | 2011-06-23 |
| 1174833081 | Ned Z Winkelman Md PC | Plastic Surgery | 44555 Woodward Ave, Suite 404, Pontiac, MI 48341-5031 | 2010-10-13 |
| Find all providers in the same location | ||||
| 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 | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942208533 | Arthur Manoli II | Orthopaedic Surgery | 44555 Woodward Ave, Suite 105, Pontiac, MI 48341-5031 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215999339 | Christopher N Zingas | Orthopaedic Surgery | 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186 | 2006-04-04 |
| 1952822132 | Damian Joseph Hilbert | Orthopaedic Surgery | 33155 Annapolis St, Wayne, MI 48184-2405 | 2017-06-28 |
| 1902218191 | Michael Swords, Do, Pllc | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2014-05-22 |
| 1861752768 | Sean A. Matuszak Md PC | Orthopaedic Surgery | 1350 Kirts Blvd, Suite 160, Troy, MI 48084-4851 | 2012-05-24 |
| 1073834339 | Cameron Patthanacharoenphon | Orthopaedic Surgery | 350 Lafayette Ave Se, 4th Floor, Grand Rapids, MI 49503-4656 | 2010-06-21 |
| 1437374931 | Andrew Moore | Orthopaedic Surgery | 14650 E. Old Us Hwy 12, Suite 105, Chelsea, MI 48118 | 2007-04-17 |
| 1942224894 | Norman J Licht | Orthopaedic Surgery | 4045 W Royal Dr, Traverse City, MI 49684-8965 | 2006-07-26 |
| 1669422077 | John D Maskill | Orthopaedic Surgery | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525 | 2006-05-10 |
| 1972551836 | Robert M Mihalich | Orthopaedic Surgery | 2305 Genoa Business Park Dr, #170, Brighton, MI 48114-7004 | 2006-05-04 |
| 1942275490 | Michael P Swords | Orthopaedic Surgery | 2815 S Pennsylvania Ave, Suite 204, Lansing, MI 48910-3495 | 2006-02-20 |
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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.