Provider Type Icon

ST JOHN HOSPITAL CORPORATION NPI 1811068760


NPI Information

NPI: 1811068760
Provider Name: ST JOHN HOSPITAL CORPORATION

Other Name: SJH PHYSICIAN ASSISTANT GROUP

Classification: Physician Assistant - 363A00000X
Entity Type: Organization
Address:
22101 MOROSS RD
DETROIT, MI
ZIP 48236
Phone: (586) 228-4635
Get Directions

ST JOHN HOSPITAL CORPORATION is a physician assistant in Detroit, MI. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. ST JOHN HOSPITAL CORPORATION NPI is 1811068760. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sjh Physician Assistant Group.

The provider's business location address is:

22101 MOROSS RD
DETROIT, MI
ZIP 48236-148
Phone: (586) 228-4635
Fax: (586) 228-4520

The provider's authorized official is Sandra E Whitman .
The authorized official title is Director, Physician Billing Service and has the following contact phone number (248) 746-5822.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 10/12/2007.


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
1363AM0700XPhysician AssistantMedicalNo
2363AS0400XPhysician AssistantSurgicalNo
3363A00000XPhysician 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
1ON94940MEDICARE PINMICHIGAN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.