St. John North Shores Emergency Physicians, P.C.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ST. JOHN NORTH SHORES EMERGENCY PHYSICIANS, P.C.

Practice address

26755 Ballard St
Harrison TWP, MI 48045-2419

Phone

(586) 465-5501

NPI assigned

May 24, 2006

Last updated

Oct 17, 2007By 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

James M. Fox, M.D.NPI 1821036070

Title

Managing Director

Phone

(248) 642-9893

Specialties & licenses 1

Addresses

Practitioners 1

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.

• James Fox, MD

  • Emergency Medicine Physician
  • Southfield, MI
  • NPI 1821036070
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1467407734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17717 MASONIC",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263158",
            "telephone_number": "586-294-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26755 BALLARD ST",
            "city": "HARRISON TWP",
            "state": "MI",
            "postal_code": "480452419",
            "telephone_number": "586-465-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN NORTH SHORES EMERGENCY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "248-642-9893",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Connie Shaw, LLMSW
• Karen Sogge, RN
• Spi Senior Living
• St John Harrison Township Urgent Care
• St. John Hospital and Medical Center (St John North Shores Hospital)
• Makenzie Thimm, RN
• Rhiannon Rose Vanreyendam, PA-C
• Samantha Varriale
• We Care Home Inc.
• Lisa Dawn Willhite, OTR

• Emergency Medicine Physician in Harrison TWP, MI
• Providers in Harrison TWP, MI by specialty
• Emergency Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.