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ST JOHN MACOMB OAKLAND HOSPITAL NPI 1427215235


NPI Information

NPI: 1427215235
Provider Name: ST JOHN MACOMB OAKLAND HOSPITAL
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
11800 E 12 MILE RD
WARREN, MI
ZIP 48093
Phone: (586) 573-5000
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ST JOHN MACOMB OAKLAND HOSPITAL is a diagnostic radiology radiology in Warren, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ST JOHN MACOMB OAKLAND HOSPITAL NPI is 1427215235. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11800 E 12 MILE RD
WARREN, MI
ZIP 48093-472
Phone: (586) 573-5000

The provider's authorized official is Randolph Kummler .
The authorized official title is Vp Finance and has the following contact phone number (586) 573-5910.

The enumeration date for this NPI number is 5/20/2008 and was last updated on 5/20/2008.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1300E011130OTHERMICHIGANBLUE CROSS
20M09690MEDICARE OSCAR/CERTIFICATION

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
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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.

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