Organization Active NPI

Catherine McAuley Health Services

Doing business as St. Joseph Mercy Primary Care Pediatrics

  • Pediatrics Physician
  • Howell, MI
National Provider Identifier
1326160797
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CATHERINE MCAULEY HEALTH SERVICES
Doing business as
St. Joseph Mercy Primary Care Pediatrics
Practice address
620 Byron Rd
Ste 1200a
Howell, MI 48843-1002
Phone
(517) 545-6600
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Authorized official

Name
Garry C Faja
Title
President Ceo
Phone
(734) 975-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

620 Byron Rd
Ste 1200a
Howell, MI 48843-1002

Mailing address

2691 Reliable Parkway
Chicago, IL 60686-0026

Other identifiers 1

IdentifierTypeStateIssuer
350D710310OtherMIBCBS BCN

Other names 1

  • St. Joseph Mercy Primary Care Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

119 Waterstradt Commerce Dr 1
Chicago, IL 60686

2691 Reliable Pkwy
Chicago, IL 60686

3830 Packard St
Ann Arbor, MI 48108
Phone (313) 283-5482

3400 Travis Pointe Rd
Ste B
Ann Arbor, MI 48108
Phone (313) 665-7580

8580 W Grand River Ave
Ste 2
Brighton, MI 48116

14650 E Old US Highway 12
Ste 306
Chelsea, MI 48118
Phone (734) 475-4003

424 E Monroe St
Dundee, MI 48131
Phone (734) 529-3031

620 Byron Rd
Ste 1200
Howell, MI 48843
Phone (517) 545-6011

620 Byron Rd
Ste 1200A
Howell, MI 48843
Phone (517) 545-6600

1335 Byron Rd
Howell, MI 48843

14555 Levan Rd
Ste 403
Livonia, MI 48154
Phone (734) 462-4000

990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090

1020 E Michigan Ave
Ste F
Saline, MI 48176
Phone (734) 429-5350

111 N Huron St
Ste 201
Ypsilanti, MI 48197

5315 McAuley Dr
Ypsilanti, MI 48197

5333 McAuley Dr
Ste R3003
Ypsilanti, MI 48197

5333 McAuley Dr
Ste R1117
Ypsilanti, MI 48197

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255996800000",
    "number": "1326160797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 RELIABLE PARKWAY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BYRON RD",
            "address_2": "STE 1200A",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488431002",
            "telephone_number": "517-545-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE MCAULEY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2009-10-20",
        "status": "A",
        "authorized_official_last_name": "FAJA",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "734-975-4101"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "350D710310",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Joseph Mercy Primary Care Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.