ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS – NPI #1174691075
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS is a radiologist located in DETROIT, MI. NPPES has assigned the NPI number 1174691075 to ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS on December 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Jan 22, 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 ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS below.

NPI Profile for
ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS

NPI Number
1174691075
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
ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS
Primary location
7733 E JEFFERSON AVE
DETROIT, MI 48214
Phone: (313) 499-4160 Fax:
Mailing address
44000 GARFIELD ROAD
CLINTON TWP, MI 48038-1125
Phone: (586) 412-4000 Fax: (586) 412-4102
Organization Subpart
No
Authorized Official
DIANE PRESSLEY CAPERS
VICE PRESIDENT
Phone: (313) 499-4100
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
2085R0202X
- Radiology / Diagnostic Radiology (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.