CMHSC- GYN ONCOLOGY – NPI #1114930997
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

CMHSC- GYN ONCOLOGY is a provider located in YPSILANTI, MI. NPPES has assigned the NPI number 1114930997 to CMHSC- GYN ONCOLOGY on August 14, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CMHSC- GYN ONCOLOGY” is a dba name, the actual legal business name for this organization is ST. JOSEPH MERCY HOSPITAL. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 18 years ago on Jun 23, 2008. 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 CMHSC- GYN ONCOLOGY below.

NPI Profile for
ST. JOSEPH MERCY HOSPITAL

NPI Number
1114930997
Enumeration Date

(about 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
ST. JOSEPH MERCY HOSPITAL
Doing Business As (dba): CMHSC- GYN ONCOLOGY
Primary location
5333 MCAULEY DR
SUITE 4015
YPSILANTI, MI 48197-1014
Phone: (734) 712-5733 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROLLAND MAMBOURG
VICE PRESIDENT PHYSICIAN RELATIONS
Phone: (734) 712-7358
Updated
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
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (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.