Organization Active NPI

Detroit Medical Centre

  • General Acute Care Hospital
  • Dearborn, MI
National Provider Identifier
1215177019
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DETROIT MEDICAL CENTRE
Practice address
5000 Heather Drive
Dearborn, MI 48216
Phone
(904) 316-4910
NPI assigned
Mar 6, 2009
Organization subpart
Yes
Parent organization
WAYNE STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Authorized official

Name
Dr. Theresa Vettese, MD
Title
Program Director
Phone
(313) 745-4832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

5000 Heather Drive
Dearborn, MI 48216

Mailing address

5000 Heather Drive
Dearborn, MI 48216

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ad8ce5cb-076d-4b2f-a3c8-94b0574f0516/

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1215177019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HEATHER DRIVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HEATHER DRIVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "48216",
            "telephone_number": "904-316-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT MEDICAL CENTRE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE STATE UNIVERSITY",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "VETTESE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "313-745-4832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.