PMHC Cancer Center

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

PMHC CANCER CENTER

Practice address

47601 Grand River
Novi, MI 48374

Phone

(248) 465-4300

NPI assigned

Jan 12, 2007

Organization subpart

Yes

Parent organization

PMHC CANCER CENTERAs reported in NPPES

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

Authorized official

Name

Paul Castillo

Title

Cfo

Phone

(734) 615-0574

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• PMHC Cancer Center

  • Radiation Oncology Physician
  • Novi, MI
  • NPI 1386678977

  O20040417000282

  Same enrollment

Part of

Regents of U of M Umh

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Henry Ford Health Providence Hospital

  • Psychiatric Hospital Unit
  • Southfield, MI
  • NPI 1003892092

  Member Of

  NPD member
• Regents of the University of Michigan

  • Clinical Cardiac Electrophysiology Physician
  • Brighton, MI
  • NPI 1598068272

  Member Of

  NPD member

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geanne Erard Geraghty, PA-C

  • Physician Assistant
  • Novi, MI
  • NPI 1073624656
  NPD
• Jill Elizabeth Ladiski, PA-C

  • Physician Assistant
  • Novi, MI
  • NPI 1396927281
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1154471837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47601 GRAND RIVER",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48374",
            "telephone_number": "248-465-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMHC CANCER CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PMHC CANCER CENTER",
        "enumeration_date": "2007-01-12",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "734-615-0574"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Platinum Wellness
• Francisco Plaza Villegas
• Pleasantry Home Care, LLC
• Katlyn Ploss, TLLP
• Plymouth Physical Therapy Specialists Limited Partnership
• PMHC Cancer Center
• Deepthi Pochampally
• Rebecca Pochmara
• Sabrethea Poe
• Kadijah Poellnitz

• Physician Assistant in Novi, MI
• Providers in Novi, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.