St Mary Mercy Physician Practices

Primary specialty

Oncology Clinic/CenterTaxonomy code 261QX0200X

Legal business name

ST MARY MERCY PHYSICIAN PRACTICES

Practice address

14555 Levan Rd
Suite 112
Livonia, MI 48154-5083

Phone

(734) 779-2123

Fax

(734) 779-2163

NPI assigned

Dec 5, 2011

Organization subpart

Yes

Parent organization

ST MARY MERCY PHYSICIAN PRACTICESAs reported in NPPES

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

Authorized official

Name

David Spivey

Title

President / Ceo

Phone

(734) 655-1610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Mary Mercy Oncology Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• St Mary Mercy Physician Practices

  • Urgent Care Clinic/Center
  • Livonia, MI
  • NPI 1184154544

  O20080425000614

  Same enrollment
• St Mary Mercy Physician Practices

  • Multi-Specialty Clinic/Center
  • Livonia, MI
  • NPI 1568630077

  O20080425000614

  Same enrollment
• St Mary Mercy Physician Practices

  • Family Medicine Physician
  • Detroit, MI
  • NPI 1801303086

  O20080425000614

  Same enrollment

Part of

St Mary Mercy Phy Practices

Member of 1

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

• Trinity Health - Michigan

  • Community/Retail Pharmacy
  • Ann Arbor, MI
  • NPI 1417029034

  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.

• Michael M Gatt, MD

  • Obstetrics & Gynecology Physician
  • Livonia, MI
  • NPI 1568447050
  NPD
• Steven Jamie Karageanes, DO

  • Sports Medicine (Family Medicine) Physician
  • Novi, MI
  • NPI 1447293360
  NPD

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1225306392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20555 VICTOR PKWY",
            "address_2": "SE MI SHARED SERVICES W3D",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527031",
            "telephone_number": "734-343-0282",
            "fax_number": "248-380-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 LEVAN RD",
            "address_2": "SUITE 112",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481545083",
            "telephone_number": "734-779-2123",
            "fax_number": "734-779-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MERCY PHYSICIAN PRACTICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST MARY MERCY PHYSICIAN PRACTICES",
        "enumeration_date": "2011-12-05",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "SPIVEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "734-655-1610"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "0H27566",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Mary Mercy Oncology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Mary Mercy Hospital
• St Mary Mercy Hospital Crna
• St Mary Mercy Hospital Professional
• St Mary Mercy Physician Practices
• St Mary Mercy Physician Practices
• St Mary Mercy Physician Practices
• St Mary Mercy Physician Practices
• Michelle Renee St. John, CRNA
• St. Jude Nursing Center, Inc.
• St. Mary Mercy Hospital

• Oncology Clinic/Center in Livonia, MI
• Providers in Livonia, MI by specialty
• Oncology Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.