Sinai Grace Hospital

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

363A50400X Issued in MI

Legal business name

SINAI GRACE HOSPITAL

Practice address

9358 Louis
Redford, MI 48239-1746

Phone

(313) 515-7828

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Carleta Poydras, PA-C

Title

Physician Assistant

Phone

(313) 515-7828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1295016103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9358 LOUIS",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9358 LOUIS",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391746",
            "telephone_number": "313-515-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI GRACE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "POYDRAS",
        "authorized_official_first_name": "CARLETA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "313-515-7828",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MI",
            "license": "363A50400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandrea Simmons
• Tamika Simmons
• Simple-Ride Transportation
• Briana Ermon Sims, NP
• Watisha D. Sims, LPC
• Natalie M Sisson
• Stella Eve Skolnik
• Tiffany Slaughterbeck, NP
• Slice Life Mental Health and Performance Coaching
• Atarah Carshena Small

• Ambulatory Surgical Clinic/Center in Redford, MI
• Providers in Redford, MI by specialty
• Ambulatory Surgical Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.