Active NPI
St Joseph Mercy of Oakland
- General Acute Care Hospital
- Auburn Hills, MI
National Provider Identifier
1124282686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 4301092346
- Legal business name
- ST JOSEPH MERCY OF OAKLAND
- Practice address
- 3290 S Adams Rd
Apt 302
Auburn Hills, MI 48326-3395 - Phone
- (312) 520-0890
- NPI assigned
- Jul 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Martin Bloda, MD
- Title
- General Surgeon Intern
- Phone
- (248) 289-1284
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 4301092346 | MI | Primary |
Addresses
Primary practice location
3290 S Adams Rd
Apt 302
Auburn Hills, MI 48326-3395
Mailing address
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 758-3234
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Health Services
Other organizations with this tax ID 17
Organizations that report the same tax identification number in the National Provider Directory.
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- Community/Retail Pharmacy
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- General Acute Care Hospital
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- NPI 1104021815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219622400000",
"number": "1124282686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44405 WOODWARD AVE",
"city": "PONTIAC",
"state": "MI",
"postal_code": "48341",
"telephone_number": "248-758-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3290 S ADAMS RD",
"address_2": "APT 302",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263395",
"telephone_number": "312-520-0890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOSEPH MERCY OF OAKLAND",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-14",
"last_updated": "2008-08-25",
"status": "A",
"authorized_official_last_name": "BLODA",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "GENERAL SURGEON INTERN",
"authorized_official_telephone_number": "248-289-1284",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "MI",
"license": "4301092346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.