St John Health System Detroit Macomb Campus

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS

Practice address

7733 E Jefferson Ave
Detroit, MI 48214

Phone

(313) 499-4160

NPI assigned

Dec 1, 2006

Last updated

Jan 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Pressley Capers

Title

Vice President

Phone

(313) 499-4100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1174691075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44000 GARFIELD ROAD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381125",
            "telephone_number": "586-412-4000",
            "fax_number": "586-412-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7733 E JEFFERSON AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48214",
            "telephone_number": "313-499-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "PRESSLEY CAPERS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "313-499-4100"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St John Anesthesiologists, PC
• St John Detroit Riverview Hospital (Henry Ford Madison Heights Hospital)
• St John Detroit Riverview Hospital
• St John Detroit Riverview Hospital
• St John Health System
• St John Hospital
• St John Hospital and Medical Center
• St John Hospital and Medical Center
• St John Hospital and Medical Center
• St John Hospital and Medical Center

• Diagnostic Radiology Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.

Verify at the official NPI Registry.