NPIMap

Organization Active NPI

St. John Hospital and Medical Center

  • General Acute Care Hospital
  • Detroit, MI
National Provider Identifier
1053550996
Registry record updated Feb 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4301089471 Issued in MI
Legal business name
ST. JOHN HOSPITAL AND MEDICAL CENTER
Practice address
22201 Moross Rd
Professional Building Two, Suite 50
Detroit, MI 48236-2169
Phone
(313) 343-7774
NPI assigned
Feb 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Louis Saravolatz, M.D.
Title
/Chief/Program Director
Phone
(313) 343-7311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4301089471 MI
General Acute Care Hospital 282N00000X 4301089471 MI Primary

Addresses

Primary practice location

22201 Moross Rd
Professional Building Two, Suite 50
Detroit, MI 48236-2169

Mailing address

22201 Moross Rd
Professional Building Two, Suite 50
Detroit, MI 48236-2169
Phone (313) 343-7774

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1053550996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "PROFESSIONAL BUILDING TWO, SUITE 50",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD",
            "address_2": "PROFESSIONAL BUILDING TWO, SUITE 50",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362169",
            "telephone_number": "313-343-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "SARAVOLATZ",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "/CHIEF/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "313-343-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301089471",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "4301089471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.