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ASCENSION MEDICAL GROUP MICHIGAN NPI 1144436411


NPI Information

NPI: 1144436411
Provider Name: ASCENSION MEDICAL GROUP MICHIGAN
Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
42645 GARFIELD RD
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 228-4652
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ASCENSION MEDICAL GROUP MICHIGAN is a nurse practitioner in Clinton Township, MI. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. ASCENSION MEDICAL GROUP MICHIGAN NPI is 1144436411. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42645 GARFIELD RD
CLINTON TOWNSHIP, MI
ZIP 48038-022
Phone: (586) 228-4652

The provider's authorized official is Sarah Starkel .
The authorized official title is Supervisor and has the following contact phone number (248) 680-8121.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 11/29/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsMICHIGANNo
2363LA2200XNurse PractitionerAdult HealthMICHIGANNo
3363LF0000XNurse PractitionerFamilyNo
4363L00000XNurse PractitionerMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10E01273OTHERMICHIGANBCBSM GROUP NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.