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ST JOHN HOSPITAL AND MEDICAL CENTER NPI 1144460676


NPI Information

NPI: 1144460676
Provider Name: ST JOHN HOSPITAL AND MEDICAL CENTER
Classification: Anesthesiologist Assistant - 367H00000X
Entity Type: Organization
Address:
22101 MOROSS RD
DETROIT, MI
ZIP 48236
Phone: (586) 753-0011
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ST JOHN HOSPITAL AND MEDICAL CENTER is an anesthesiologist assistant in Detroit, MI. The provider is an individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. ST JOHN HOSPITAL AND MEDICAL CENTER NPI is 1144460676. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

22101 MOROSS RD
DETROIT, MI
ZIP 48236-148
Phone: (586) 753-0011

The provider's authorized official is Susan Field .
The authorized official title is Sr Director and has the following contact phone number (586) 753-0011.

The enumeration date for this NPI number is 2/24/2009 and was last updated on 2/24/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367H00000XAnesthesiologist AssistantYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10866958OTHERBLUE CROSS

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: 4/28/2024

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