ST JOHN HOSPITAL AND MEDICAL CENTER (NPI# 1740445337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740445337 |
| Entity Type | Organization |
| Organization Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | ROMEO PLANK DIAGNOSTIC CENTER |
| Practice Address |
46591 Romeo Plank Rd Suite 137 Macomb MI 48044-5742 |
| Mailing Address |
Po Box 67000 Department 184101 Detroit MI 48267-0002 |
| Practice Telephone | 5862266226 |
| Practice Fax Number | 5862266255 |
| Mailing Telephone | 8779969975 |
| Mailing Fax Number | 5862284533 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2011-01-27 |
| Authorized Official Name | JENNIFER JOHNSON (DIRECTOR) |
| Authorized Official Telephone | 8779969975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
MI | Allopathic & Osteopathic Physicians | |
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
MI | Allopathic & Osteopathic Physicians | |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
MI | Allopathic & Osteopathic Physicians | |
| N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
MI | Allopathic & Osteopathic Physicians | |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MI | Allopathic & Osteopathic Physicians | |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
MI | Allopathic & Osteopathic Physicians | |
| N | 247100000X | Radiologic Technologist | MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
MI | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
MI | Technologists, Technicians & Other Technical Service Providers | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM GROUP NUMBER | 310E022080 | 01 |
| Other Name | Type Code |
|---|---|
| Romeo Plank Diagnostic Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801198387 | St John Hospital and Medical Center | Clinic/Center | 17700 23 Mile Rd, Ste 200, Macomb, MI 48044-1154 | 2010-12-03 |
| 1760708945 | St John Hospital and Medical Center | Audiologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2010-04-14 |
| 1164655585 | St John Hospital and Medical Center | Internal Medicine | 19229 Mack Ave, 24, Grosse Pointe Woods, MI 48236-2858 | 2009-09-02 |
| 1144460676 | St John Hospital and Medical Center | Anesthesiologist Assistant | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-02-24 |
| 1831338581 | St John Hospital and Medical Center | Dermatology | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-02-19 |
| 1346488863 | St John Hospital and Medical Center | Podiatrist | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-01-22 |
| 1891933313 | St John Hospital and Medical Center | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2009-01-22 |
| 1750546446 | St John Hospital and Medical Center | Radiologic Technologist | 20225 E 9 Mile Rd, Saint Clair Shores, MI 48080-1775 | 2008-07-23 |
| 1083873525 | St John Hospital and Medical Center | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
| 1609035229 | St John Hospital and Medical Center | Internal Medicine | 22101 Moross Rd, Detroit, MI 48236-2148 | 2008-06-09 |
| Street Address |
46591 ROMEO PLANK RD SUITE 137 |
| City | MACOMB |
| State | MI |
| Zip Code | 48044-5742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124013750 | Mohammad S Saberi | Pediatrics | 46591 Romeo Plank Rd, Suite 205, Macomb, MI 48044-5742 | 2005-09-20 |
| 1992014880 | Karen L Demsich | Pharmacist | 46591 Romeo Plank Rd, Macomb, MI 48044-5742 | 2010-09-27 |
| 1437472826 | Abdulbaset Sulaiman Md PC | Internal Medicine | 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 | 2010-03-12 |
| 1073765046 | Medical Resource Group | Clinic/Center | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5742 | 2008-10-21 |
| 1134246804 | Jeffrey George Alaska | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-03-26 |
| 1275650574 | Loren David Nowc | Occupational Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-03-23 |
| 1417098989 | Leann Piechocki | Pharmacist | 46591 Romeo Plank Rd, Suite 125, Macomb, MI 48044-5742 | 2007-02-09 |
| 1033268339 | Lori Ann Hamby | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-01-09 |
| 1568510147 | Monika Maria Peddycord | Physical Therapist | 46591 Romeo Plank Rd, Suite 115, Macomb, MI 48044-5742 | 2007-01-08 |
| 1972650265 | Maureen Anne Lilla | Specialist/Technologist | 46591 Romeo Plank Rd, Macomb, MI 48044-5742 | 2007-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265925788 | Karen Wetzel | Social Worker | 47567 Dennis Baert Dr, Macomb, MI 48044 | 2018-06-09 |
| 1225541956 | Paul John Andary Jr. | Student in an Organized Health Care Education/Training Program | 48599 Penrose Ln, Macomb, MI 48044 | 2017-11-16 |
| 1467972869 | Theresa Lynn Cipponeri | Social Worker | 17937 Hall Road, Macomb, MI 48044 | 2017-06-27 |
| 1407389570 | Nofal Cholag | Pharmacist | 50340 Nesting Ridge Dr, Macomb, MI 48044 | 2017-04-06 |
| 1043754914 | Magdalena Sosnowski | Registered Nurse | 47362 Whippoorwill Dr, Macomb, MI 48044 | 2016-12-13 |
| 1558716894 | Keith Edward Callewaert | Emergency Medical Technician, Paramedic | 48301 Tonawonda Dr, Macomb, MI 48044 | 2016-04-24 |
| 1942684741 | Isabella Scofield | Family Medicine | 46591 Romeo Plank Rd Ste 200, Macomb, MI 48044 | 2015-07-13 |
| 1548600984 | Katie Marie Rosen | Urology | 19991 Hall Rd Ste 201, Macomb, MI 48044 | 2013-06-30 |
| 1699118455 | Kostyantyn Shkilnyy | Massage Therapist | 48254 Ellington Drive, Macomb Township, MI 48044 | 2013-04-11 |
| 1962790097 | Daniel Agrusa | Audiologist | 49306 Flint Ct., Macomb, MI 48044 | 2011-07-11 |
| Find all providers in zip 48044 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063543791 | Remlo | Radiology | 525 E Grant St, Macomb, IL 61455-3313 | 2007-03-07 |
| 1730225327 | Alvin H Weintraub | Radiology | 525 E Grant St, Macomb, IL 61455-3313 | 2007-01-30 |
| 1437295946 | Ronald E Rigdon | Radiology | 525 E Grant St, Macomb, IL 61455-3313 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855667 | Joshua Boulter | Radiology | 2250 Providence Drive, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-11 |
| 1679197693 | Shyam Amin | Radiology | Academic Internal Medicine 2 2250 Providence Dr, 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-05 |
| 1871116509 | Anthony Diebes | Radiology | 16001 W 9 Mile Rd Bldg 4th, Southfield, MI 48075-4818 | 2020-05-28 |
| 1548823800 | Alexander Paul Kaechele | Radiology | 16001 West 9 Mile Road, Suite #416, Southfield, MI 48075-4818 | 2019-04-22 |
| 1790246627 | Genesis Healthcare | Radiology | 8560 N Silvery Ln Ste 101, Dearborn Heights, MI 48127-4516 | 2019-03-25 |
| 1023572831 | Proscan Imaging Southfield Pllc | Radiology | 29877 Telegraph Rd # 11, Southfield, MI 48034-1332 | 2019-01-25 |
| 1295204253 | Easy Imaging, LLC | Radiology | 16100 19 Mile Rd Ste X, Clinton Township, MI 48038-1148 | 2018-11-20 |
| 1205304888 | Ascension Medical Group Genesys | Radiology | 1096 S Belsay Rd Ste J, Burton, MI 48509-1948 | 2018-11-13 |
| 1336626696 | Quantum Medical Radiology of California, P.C. | Radiology | 1625 Bear Creek Ln Unit O, Petoskey, MI 49770-8378 | 2018-07-19 |
| 1376072488 | Cambridge Institute of Minimally Invasive Therapies Pllc | Radiology | 2007 E 14 Mile Rd, Sterling Heights, MI 48310-5905 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
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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.