ST JOSEPH MERCY HOSPITAL – NPI #1497152243
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

ST JOSEPH MERCY HOSPITAL is a surgeon located in YPSILANTI, MI. NPPES has assigned the NPI number 1497152243 to ST JOSEPH MERCY HOSPITAL on November 21, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 9 years ago on Oct 05, 2017. 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 JOSEPH MERCY HOSPITAL below.

NPI Profile for
ST JOSEPH MERCY HOSPITAL

NPI Number
1497152243
Enumeration Date

(more than 11 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
Primary location
5333 MCAULEY DRIVE
SUITE 1100
YPSILANTI, MI 48197
Phone: (734) 712-2173 Fax:
Mailing address
34505 W 12 MILE RD STE 200
FARMINGTON HILLS, MI 48331-3286
Phone: (734) 343-3922 Fax:
Organization Subpart
No
Authorized Official
MICHAEL GUSHO
CFO SE MI REGION
Phone: (248) 858-6174
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
2086S0129X
- Surgery / Vascular Surgery (Primary)
MI 1060000071

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.