ASCENSION MEDICAL GROUP MICHIGAN NPI 1942317631

NPI Information

NPI: 1942317631
Provider Name: ASCENSION MEDICAL GROUP MICHIGAN
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
28000 DEQUINDRE ROAD
REVENUE CYCLE DEPARTMETN
WARREN, MI
ZIP 48092
Phone: (248) 680-8000
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ASCENSION MEDICAL GROUP MICHIGAN is a family medicine in Warren, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ASCENSION MEDICAL GROUP MICHIGAN NPI is 1942317631. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

28000 DEQUINDRE ROAD
REVENUE CYCLE DEPARTMETN
WARREN, MI
ZIP 48092
Phone: (248) 680-8000
Fax: (248) 292-3852

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

The enumeration date for this NPI number is 8/25/2006 and was last updated on 11/29/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2080A0000X	Pediatrics	Adolescent Medicine	No
2	2084N0400X	Psychiatry & Neurology	Neurology	No
3	2085R0202X	Radiology	Diagnostic Radiology	No
4	207QG0300X	Family Medicine	Geriatric Medicine	No
5	207R00000X	Internal Medicine		No
6	207RG0300X	Internal Medicine	Geriatric Medicine	No
7	207V00000X	Obstetrics & Gynecology		No
8	207VG0400X	Obstetrics & Gynecology	Gynecology	No
9	207VX0000X	Obstetrics & Gynecology	Obstetrics	No
10	208000000X	Pediatrics		No
11	207Q00000X	Family Medicine		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	CG4683	OTHER	MICHIGAN	RAILROAD MEDICARE GROUP NUMBER
2	700E012300	OTHER	MICHIGAN	BCBSM GROUP NUMBER
3	CB2735	OTHER	MICHIGAN	RAILROAD MEDICARE GROUP NUMBER
4	CG3113	OTHER	MICHIGAN	RAILROAD MEDICARE GROUP NUMBER

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

NPI Synchronization or Removal

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