NPIMap

Organization Active NPI

Michigan Emergency Services

  • Medical Toxicology (Emergency Medicine) Physician
  • Detroit, MI
National Provider Identifier
1316968191
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Emergency Medicine) PhysicianTaxonomy code 207PT0002X
Legal business name
MICHIGAN EMERGENCY SERVICES
Practice address
4201 Saint Antoine St
Suite 3R
Detroit, MI 48201-2153
Phone
(313) 745-3330
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Dr. Padraic J. Sweeny, M.D.
Title
President
Phone
(313) 745-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PT0002X Primary

Addresses

Primary practice location

4201 Saint Antoine St
Suite 3R
Detroit, MI 48201-2153

Mailing address

4201 Saint Antoine St
Suite 3R
Detroit, MI 48201-2153

Other identifiers 1

IdentifierTypeStateIssuer
0H21055OtherMIBCBS OF MICHIGAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040723001095 MI Part B Supplier - Clinic/Group Practice 7315927894 Receives reassigned benefits from 82 practitioners
Practice locations: Detroit, MI

National Provider Directory

National Provider Directory

Practitioners 86

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1316968191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "SUITE 3R",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "SUITE 3R",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN EMERGENCY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "SWEENY",
        "authorized_official_first_name": "PADRAIC",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-745-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0H21055",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.