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ST JOSEPH MERCY HOSPITAL NPI 1649399197


NPI Information

NPI: 1649399197
Provider Name: ST JOSEPH MERCY HOSPITAL
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
5301 E HURON RIVER DR
MIXED SPECIALTY PHYSICIAN, NON PHYSICIAN
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-3456
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ST JOSEPH MERCY HOSPITAL is an internal medicine in Ypsilanti, MI. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ST JOSEPH MERCY HOSPITAL NPI is 1649399197. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5301 E HURON RIVER DR
MIXED SPECIALTY PHYSICIAN, NON PHYSICIAN
YPSILANTI, MI
ZIP 48197-051
Phone: (734) 712-3456

The provider's authorized official is Michael P Gusho .
The authorized official title is Cfo Se Mi Region and has the following contact phone number (248) 858-6174.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 3/9/2018.


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
1103G00000XClinical NeuropsychologistNo
2207R00000XInternal MedicineYes
3207W00000XOphthalmologyNo
4208600000XSurgeryNo
52086S0102XSurgerySurgical Critical CareNo
62086S0127XSurgeryTrauma SurgeryNo
7208D00000XGeneral PracticeNo
8363A00000XPhysician AssistantNo
9363AM0700XPhysician AssistantMedicalNo
10363AS0400XPhysician AssistantSurgicalNo
11363LA2100XNurse PractitionerAcute CareNo

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
1700H105090OTHERMICHIGANBLUE SHIELD BCN
2700H161080OTHERMICHIGANBS BCN MX SPEC P, NP

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

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