HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS – NPI #1578607594
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS is a psychiatry & neurologist located in MOUNT CLEMENS, MI. NPPES has assigned the NPI number 1578607594 to HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS on February 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS” is a dba name, the actual legal business name for this organization is HENRY FORD MACOMB HOSPITAL CORPORATION. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 2 years ago on Mar 06, 2024. 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 HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS below.

NPI Profile for
HENRY FORD MACOMB HOSPITAL CORPORATION

NPI Number
1578607594
Enumeration Date

(more than 19 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
HENRY FORD MACOMB HOSPITAL CORPORATION
Doing Business As (dba): HENRY FORD MACOMB HOSPITAL - MT. CLEMENS CAMPUS
Primary location
215 NORTH AVE
MOUNT CLEMENS, MI 48043-1716
Phone: (586) 466-9300 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KELLY RATOWSKI
DIRECTOR OF PROVIDER AFFAIRS
Phone: (248) 703-2003
Updated
Certification Date
Mar 06, 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
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
MI
2084P0805X
- Psychiatry & Neurology / Geriatric Psychiatry
MI

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.