ASCENSION PROVIDENCE HOSPITAL – NPI #1922061167
Emergency Medicine

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

ASCENSION PROVIDENCE HOSPITAL is a provider located in SOUTHFIELD, MI. NPPES has assigned the NPI number 1922061167 to ASCENSION PROVIDENCE HOSPITAL on April 10, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. ASCENSION PROVIDENCE HOSPITAL is also known by the name PH EMERGENCY MEDCINE/PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 3 years ago on Nov 15, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ASCENSION PROVIDENCE HOSPITAL below.

NPI Profile for
ASCENSION PROVIDENCE HOSPITAL

NPI Number
1922061167
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ASCENSION PROVIDENCE HOSPITAL
Other Name: PH EMERGENCY MEDCINE/PROVIDENCE HOSPTIAL AND MEDICAL CENTERS INC
Website
Primary location
16001 W 9 MILE RD
SOUTHFIELD, MI 48075-4818
Phone: (248) 849-3000 Fax: (248) 849-2244
Mailing address
3168 SOLUTIONS CENTER BOX 773168
CHICAGO, IL 60677-0001
Phone: (248) 680-8000 Fax:
Organization Subpart
No
Authorized Official
SARAH STARKEL
SUPERVISOR, ENROLLMENT
Phone: (248) 680-8121
Updated
Certification Date
Nov 15, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for ASCENSION PROVIDENCE HOSPITAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMI BLUE CROSS GROUP PIN #MI010F376920
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.