St.John Hospital & Medical Center

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

L1598766 Issued in MI

Legal business name

ST.JOHN HOSPITAL & MEDICAL CENTER

Practice address

19251 Mack Ave Ste 335
Grosse Pointe Woods, MI 48236-2895

Phone

(312) 823-7637

NPI assigned

Jul 13, 2009

Last updated

Jul 13, 2009By 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

Mona Abdullah Alfares, M.D.NPI 1477785277

Title

Resident

Phone

(312) 823-7637

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mona Abdullah Al Fares, M.D.

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1477785277
  Authorized official Same address or phone

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1275762106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19251 MACK AVE STE 335",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362895",
            "telephone_number": "312-823-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19251 MACK AVE STE 335",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362895",
            "telephone_number": "312-823-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.JOHN HOSPITAL & MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "ALFARES",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "ABDULLAH",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "312-823-7637",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MI",
            "license": "L1598766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Robert Sobotka, PA-C
• Caelan K Soma
• Catherine S Sonaglia, MD
• St John Hospital and Medical Center (Hematology-Oncology Associates East)
• St Mary Physical Therapy and Rehabilitation LLC
• St.John Hospital and Medical Center
• Steele Speech Services LLC
• William Steele
• Sheila Marie Stephan, OTRL
• Margeaux Stephens

• Medical Specialty Clinic/Center in Grosse Pointe Woods, MI
• Providers in Grosse Pointe Woods, MI by specialty
• Medical Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.