Active NPI
Andrew Dane St Louis, M.D
- Student in an Organized Health Care Education/Training Program
- Livonia, MI
National Provider Identifier
1235981523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Trinity Health Livonia Hospital
36475 Five Mile Rd
Livonia, MI 48154 - Phone
- (734) 655-2727
- Fax
- (734) 655-8430
- NPI assigned
- Apr 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | Primary |
Addresses
Primary practice location
Trinity Health Livonia Hospital
36475 Five Mile Rd
Livonia, MI 48154
Mailing address
Trinity Health Livonia Hospital
36475 Five Mile Rd
Livonia, MI 48154
Phone (734) 655-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1235981523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TRINITY HEALTH LIVONIA HOSPITAL",
"address_2": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-655-2727",
"fax_number": "734-655-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TRINITY HEALTH LIVONIA HOSPITAL",
"address_2": "36475 FIVE MILE RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-655-2727",
"fax_number": "734-655-8430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST LOUIS",
"first_name": "ANDREW",
"middle_name": "DANE",
"name_prefix": "Mr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-04-02",
"last_updated": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.