ST JOHN HOSPITAL AND MEDICAL CENTER NPI 1609035229

NPI Information

NPI: 1609035229
Provider Name: ST JOHN HOSPITAL AND MEDICAL CENTER
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
22101 MOROSS RD
DETROIT, MI
ZIP 48236
Phone: (313) 343-4000
Get Directions

ST JOHN HOSPITAL AND MEDICAL CENTER is a cardiovascular disease internal medicine in Detroit, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST JOHN HOSPITAL AND MEDICAL CENTER NPI is 1609035229. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22101 MOROSS RD
DETROIT, MI
ZIP 48236-148
Phone: (313) 343-4000

The provider's authorized official is Christopher J Palazzolo .
The authorized official title is Vp Finance and has the following contact phone number (313) 343-3558.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 6/9/2008.

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
1	207RI0011X	Internal Medicine	Interventional Cardiology			No
2	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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
1	H212820	OTHER		BLUE CROSS
2	0M39560	MEDICARE 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

NPI Synchronization or Removal

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