ST JOHN HOSPITAL AND MEDICAL CENTER (NPI# 1760708945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760708945 |
| Entity Type | Organization |
| Organization Name | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Practice Address |
28000 Dequindre Rd Warren MI 48092-2468 |
| Mailing Address |
22101 Moross Rd Detroit MI 48236-2148 |
| Practice Telephone | 5867533000 |
| Mailing Telephone | 3133434000 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2010-04-14 |
| Authorized Official Name | TOMASINE MARX (CFO) |
| Authorized Official Telephone | 3133437676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers |
| 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 |
| 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 |
| 1740445337 | St John Hospital and Medical Center | Radiology | 46591 Romeo Plank Rd, Suite 137, Macomb, MI 48044-5742 | 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 |
28000 DEQUINDRE RD |
| City | WARREN |
| State | MI |
| Zip Code | 48092-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740206168 | Lily Ann Marie Tencza | Psychiatry & Neurology | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2006-07-15 |
| 1598255788 | Vicki Sharma | Student in an Organized Health Care Education/Training Program | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2018-05-14 |
| 1477967446 | St. John Providence Health System | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2014-06-17 |
| 1235487257 | Allison Whiteside | Specialist/Technologist | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-08-23 |
| 1366702755 | St John Providence Partners In Care | Clinic/Center | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1588924971 | Carolyn Ann Hill | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1063772465 | Ruth Anne Didonato | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1477813715 | Linda A Caldwell | Registered Nurse | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-05-21 |
| 1972879237 | Burton David Gottlieb | Social Worker | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-03-30 |
| 1346511383 | St. John Providence | General Acute Care Hospital | 28000 Dequindre Rd, Warren, MI 48092-2468 | 2012-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881163186 | Katherine Byrd | Behavior Technician | 3691 East 11 Mile Rd., Warren, MI 48092 | 2018-11-15 |
| 1861980302 | Mark Paul Azzo | Home Health Aide | 27605 Walker Ave, Warren, MI 48092 | 2018-04-30 |
| 1144747130 | Joseph Galutan Estrada | Chiropractor | 4846 Marlow Dr, Warren, MI 48092 | 2017-08-29 |
| 1649669425 | Lawrence Mosurak IIi | Chiropractor | 6201 Chicago Road, Warren, MI 48092 | 2015-01-15 |
| 1174911713 | Kimberly A Ott | Nurse Practitioner | 28800 Ryan Rd Suite 320, Warren, MI 48092 | 2015-01-06 |
| 1487071999 | Michele Szandzik | Chiropractor | 2243 East 12 Mile Rd, Warren, MI 48092 | 2014-03-21 |
| 1962827311 | Mouradian Dental Center, D.d.s., P.C. | Dentist | 32500 Mound Rd., Mouradian Dental Center, D.d.s., P.C., Warren, MI 48092 | 2014-02-21 |
| 1639495930 | Debra Kay Wenneman | Physical Therapist | 28776 Ryan Rd, Warren, MI 48092 | 2010-04-12 |
| 1922332923 | Sonia Amirali Pethani | Physical Therapist | 2117 E. Eleven Mile Rd., Warren, MI 48092 | 2009-09-23 |
| 1881822237 | Michael Patrick Walsh | Orthopaedic Surgery | 28800 Ryan Rd Ste 310, Warren, MI 48092 | 2009-06-24 |
| Find all providers in zip 48092 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323109 | Madeline Marie New | Audiologist | 1932 Niles Cortland Rd Ne Ste H, Warren, OH 44484-1055 | 2020-07-14 |
| 1780112235 | Kimberly Marie Kobzowicz | Audiologist | 8309 High St Ne, Warren, OH 44484-1926 | 2017-05-29 |
| 1922481126 | Kayla Elaine Mckay | Audiologist | 8019 E Market St, Warren, OH 44484-2229 | 2015-07-07 |
| 1023242039 | Stacey Simon | Audiologist | 27301 Schoenherr Rd Ste 105, Warren, MI 48088-6649 | 2009-05-05 |
| 1871732792 | Nicole Yvette Mayer | Audiologist | 13422 Peck Dr, Warren, MI 48088-1328 | 2009-02-17 |
| 1689214678 | Audiologic Hearing Aids | Audiologist | 808 Pa Ave W, Warren, PA 16365-1882 | 2020-01-08 |
| 1588104699 | Dorian L Economos | Audiologist | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-03-08 |
| 1689114704 | Jessica D Mook | Audiologist | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-03-08 |
| 1457891574 | Anita J Conner | Audiologist | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-03-08 |
| 1134669252 | Sherrie P Sylvester | Audiologist | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 | 2017-03-08 |
| Find all providers in WARREN | ||||
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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.