ST MARY MEDICAL CENTER – NPI #1255164984
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

ST MARY MEDICAL CENTER is a provider located in MADISON HEIGHTS, MI. NPPES has assigned the NPI number 1255164984 to ST MARY MEDICAL CENTER on August 20, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

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 ST MARY MEDICAL CENTER below.

NPI Profile for
ST MARY MEDICAL CENTER

NPI Number
1255164984
Enumeration Date

(about 2 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 MARY MEDICAL CENTER
Primary location
28091 DEQUINDRE RD STE 203
MADISON HEIGHTS, MI 48071-3071
Phone: (248) 965-3243 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ABID AGHA
OWNER
Phone: (248) 965-3243
Updated
Certification Date
Aug 20, 2024

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.

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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (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.