MERCY MEMORIAL HOSPITAL CORPORATION (NPI# 1861636540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861636540 |
| Entity Type | Organization |
| Organization Name | MERCY MEMORIAL HOSPITAL CORPORATION |
| Other Organization Name | MOOSA |
| Practice Address |
718 N Macomb St Monroe MI 48162-7815 |
| Practice Telephone | 7342408840 |
| Practice Fax Number | 7342404450 |
| Mailing Telephone | 7342408840 |
| Mailing Fax Number | 7342404450 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |
| Authorized Official Name | MRS. ANNETTE PHILLIPS (CEO) |
| Authorized Official Telephone | 7342408840 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301081240 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS | 080E812180 | 01 |
| Other Name | Type Code |
|---|---|
| MOOSA | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1386721413 | Mercy Memorial Hospital Corporation | Home Health | 1070 N Monroe St, Monroe, MI 48162 | 2006-11-01 |
| 1437635505 | Mercy Memorial Hospital Corporation | General Acute Care Hospital | 718 N Macomb St, Monroe, MI 48162-7815 | 2018-07-12 |
| 1811426331 | Mercy Memorial Hospital Corporation | Clinical Medical Laboratory | 718 N Macomb St, Monroe, MI 48162-7815 | 2017-06-08 |
| 1376997551 | Mercy Memorial Hospital Corporation | Specialist | 800 Stewart Rd, Monroe, MI 48162-4226 | 2016-04-14 |
| 1972781714 | Mercy Memorial Hospital Corporation | Community/Behavioral Health | 700 Stewart Rd, Monroe, MI 48162-5304 | 2008-02-04 |
| 1942487053 | Mercy Memorial Hospital Corporation | Psychiatry & Neurology | 718 N Macomb St, Monroe, MI 48162-7815 | 2008-01-31 |
| 1659558765 | Mercy Memorial Hospital Corporation | Obstetrics & Gynecology | 718 N Macomb St, Monroe, MI 48162-7815 | 2008-01-31 |
| 1174700694 | Mercy Memorial Hospital Corporation | Emergency Medicine | 100 Powell Dr, Dundee, MI 48131-8644 | 2008-01-28 |
| 1942354873 | Mercy Memorial Hospital Corporation | Community/Behavioral Health | 700 Stewart Rd, Ste 105, Monroe, MI 48162-5304 | 2007-01-22 |
| Street Address |
718 N MACOMB ST |
| City | MONROE |
| State | MI |
| Zip Code | 48162-7815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781300 | Mark D Sherrard | Family Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2005-06-28 |
| 1841801222 | Vijaya Lakshmi Lakshmi Thotakura | Physician Assistant | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-08-11 |
| 1952928467 | Edwin David | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-30 |
| 1255957494 | Nicole Philippon | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-23 |
| 1407471451 | Joseph Hoeksema | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-15 |
| 1366067779 | Megan Wolbers | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1598380909 | Himat Singh Gill | General Practice | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-11 |
| 1659996221 | Nathaniel Lucey | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1497370068 | Krysten Hinton | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-10 |
| 1598380123 | Paul Van Truong | Emergency Medicine | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1396706271 | Uma Rangaraj | Internal Medicine | 3402 Magnolia Cove, Monroe, LA 71203 | 2006-03-30 |
| 1669478681 | Mahmood Fattooh Moosa | Internal Medicine | 15506 S Telegraph Rd, Monroe, MI 48161-5520 | 2005-06-23 |
| 1801302492 | The Charlotte-mecklenburg Hospital Authority | Internal Medicine | 1550 Faulk St, Ste 2100, Monroe, NC 28112-5086 | 2017-12-19 |
| 1750607602 | Nicholas Alexander Avitabile | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2010-04-18 |
| 1811125644 | Endocrine Specialists, P.C. | Internal Medicine | 15506 S Telegraph Rd, Monroe, MI 48161-5520 | 2009-07-01 |
| 1598999484 | Ila Khanna | Internal Medicine | 855 State Route 17m, Monroe, NY 10950-1600 | 2009-05-07 |
| 1578706859 | Poonam Sood | Internal Medicine | 1550 Faulk St, Ste 2100, Monroe, NC 28112-5086 | 2009-04-15 |
| 1841383221 | Mohammad Mousa | Internal Medicine | 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 | 2006-09-30 |
| 1629161005 | Southern Endocrinology Center | Internal Medicine | 3418 Medical Park Dr, Suite 23, Monroe, LA 71203-2376 | 2006-09-30 |
| 1902857634 | Paul A Bekx | Internal Medicine | 515 22nd Ave, Monroe, WI 53566-1569 | 2006-05-15 |
| Find all providers in MONROE | ||||
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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.