St. John Emergency Physicians, P. C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ST. JOHN EMERGENCY PHYSICIANS, P. C.

Practice address

22101 Moross Rd
Emergency Department
Detroit, MI 48236-2148

Phone

(313) 343-4000

NPI assigned

Nov 2, 2006

Last updated

Sep 24, 2008By 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

Dr. James M Fox, M. D.

Title

Vice President

Phone

(800) 531-5788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1679651871",
    "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": "800-531-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN EMERGENCY PHYSICIANS, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-531-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Mary Mercy Physician Practices
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• St. John Detroit Riverview
• St. John Detroit Riverview
• St. John Emergency Services PC
• St. John Health
• St. John Hospital
• St. John Hospital
• St. John Hospital

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.