St George Medical Center Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ST GEORGE MEDICAL CENTER INC.

Practice address

4818 W Vernor Hwy
Detroit, MI 48209-2122

Phone

(313) 843-2500

Fax

(313) 841-6966

NPI assigned

May 29, 2007

Last updated

Aug 22, 2020By 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

George H Esho

Title

President

Phone

(313) 554-3900

Specialties & licenses 1

Addresses

Locations

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.

• Iad Naji, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Deerfield Beach, FL
  • NPI 1760495998
  NPD (past)

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710188842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092122",
            "telephone_number": "313-554-3900",
            "fax_number": "313-841-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 W VERNOR HWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092122",
            "telephone_number": "313-843-2500",
            "fax_number": "313-841-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESHO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-554-3900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahmoud Srour
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• Multi-Specialty Clinic/Center in Detroit, MI
• Providers in Detroit, MI by specialty
• Multi-Specialty Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.