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ST MARY MERCY PHYSICIAN PRACTICES NPI 1225306392


NPI Information

NPI: 1225306392
Provider Name: ST MARY MERCY PHYSICIAN PRACTICES

Doing Business As: ST MARY MERCY ONCOLOGY PRACTICE

Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
14555 LEVAN RD
SUITE 112
LIVONIA, MI
ZIP 48154
Phone: (734) 779-2123
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ST MARY MERCY PHYSICIAN PRACTICES is an oncology clinic center in Livonia, MI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. ST MARY MERCY PHYSICIAN PRACTICES NPI is 1225306392. The provider is registered as an organization entity type.
The provider Is Doing Business As St Mary Mercy Oncology Practice.

The provider's business location address is:

14555 LEVAN RD
SUITE 112
LIVONIA, MI
ZIP 48154-083
Phone: (734) 779-2123
Fax: (734) 779-2163

The provider's authorized official is David Spivey .
The authorized official title is President / Ceo and has the following contact phone number (734) 655-1610.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 11/3/2015.


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
1261QX0200XClinic/CenterOncologyYes

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
10H27566OTHERMICHIGANBLUE SHIELD PIN
20P55530MEDICARE PIN

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: 11/14/2023

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