NPIMap

Organization Active NPI

Ascension Medical Group Michigan

  • Registered Dietitian
  • Shelby Township, MI
National Provider Identifier
1356525562
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
ASCENSION MEDICAL GROUP MICHIGAN
Practice address
45660 Schoenherr Rd
Shelby Township, MI 48315-6033
Phone
(866) 996-3066
Fax
(586) 566-3068
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Rachel R Perry
Title
Manager
Phone
(248) 221-1918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X MI Primary

Addresses

Primary practice location

45660 Schoenherr Rd
Shelby Township, MI 48315-6033

Mailing address

PO Box 14129
Belfast, ME 04915-4032

Other names 2

  • HENRY FORD SEMI MEDICAL GROUP Doing business as
  • St. John Weight Loss Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St John OBGYN Associate15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

45660 Schoenherr Rd
Utica, MI 48315
Phone (586) 566-3020

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1356525562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14129",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45660 SCHOENHERR RD",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483156033",
            "telephone_number": "866-996-3066",
            "fax_number": "586-566-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION MEDICAL GROUP MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-221-1918"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HENRY FORD SEMI MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. John Weight Loss Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. John Weight Loss Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.