St. John Hospital and Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

AS3062508-28 Issued in MI

Legal business name

ST. JOHN HOSPITAL AND MEDICAL CENTER

Practice address

22151 Moross Rd
PB I Suite 332
Detroit, MI 48236-2167

Phone

(313) 343-7849

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By 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

Armando Jose Salazar

Title

M.D.

Phone

(305) 613-1911

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Jet Thepsongwajja, M.D.

  • Surgery Physician
  • Detroit, MI
  • NPI 1598046153
  NPD (past)
• Dominique Dempah, M.D.

  • Surgery Physician
  • Salem, VA
  • NPI 1073763751
  NPD (past)

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1437439502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21441 SLOAN DR",
            "address_2": "APT. # 203 B",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482252428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22151 MOROSS RD",
            "address_2": "PB I SUITE 332",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362167",
            "telephone_number": "313-343-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "305-613-1911"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MI",
            "license": "AS3062508-28",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center
• St. John Hospital and Medical Center

• General Acute Care Hospital in Detroit, MI
• Providers in Detroit, MI by specialty
• General Acute Care Hospital in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.