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ASCENSION PROVIDENCE HOSPITAL NPI 1235194291


NPI Information

NPI: 1235194291
Provider Name: ASCENSION PROVIDENCE HOSPITAL

Other Name: PH PULMONARY DISEASE/PROVIDENCE HOSPITAL AND MEDICAL CENTERS INC

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
16001 W 9 MILE RD
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 849-3000
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ASCENSION PROVIDENCE HOSPITAL is a pulmonary disease internal medicine in Southfield, MI. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. ASCENSION PROVIDENCE HOSPITAL NPI is 1235194291. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Ph Pulmonary Disease/providence Hospital And Medical Centers Inc.

The provider's business location address is:

16001 W 9 MILE RD
SOUTHFIELD, MI
ZIP 48075-818
Phone: (248) 849-3000
Fax: (248) 849-2244

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

The enumeration date for this NPI number is 4/20/2006 and was last updated on 11/15/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary DiseaseYes

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
1290F372760OTHERMICHIGANMI BLUE CROSS GROUP 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: 4/28/2024

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