Active NPI
St John Hospital and Medical Center
- Diagnostic Radiology Physician
- Macomb, MI
National Provider Identifier
1740445337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ST JOHN HOSPITAL AND MEDICAL CENTER
- Practice address
- 46591 Romeo Plank Rd
Suite 137
Macomb, MI 48044-5742 - Phone
- (586) 226-6226
- Fax
- (586) 226-6255
- NPI assigned
- Jul 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Johnson
- Title
- Director
- Phone
- (877) 996-9975
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | MI | ||
| Neuroradiology Physician | 2085N0700X | MI | ||
| Nuclear Radiology Physician | 2085N0904X | MI | ||
| Pediatric Radiology Physician | 2085P0229X | MI | ||
| Diagnostic Radiology Physician | 2085R0202X | MI | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MI | ||
| Diagnostic Ultrasound Physician | 2085U0001X | MI | ||
| Radiologic Technologist | 247100000X | MI | ||
| Bone Densitometry Radiologic Technologist | 2471B0102X | MI | ||
| Radiography Radiologic Technologist | 2471C3402X | MI | ||
| Mammography Radiologic Technologist | 2471M2300X | MI | ||
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | MI | ||
| Sonography Radiologic Technologist | 2471S1302X | MI | ||
| Vascular Sonography Radiologic Technologist | 2471V0105X | MI |
Addresses
Primary practice location
46591 Romeo Plank Rd
Suite 137
Macomb, MI 48044-5742
Mailing address
PO Box 67000
Department 184101
Detroit, MI 48267-0002
Phone (877) 996-9975
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310E022080 | Other | MI | BCBSM GROUP NUMBER |
Other names 1
- Romeo Plank Diagnostic Center
National Provider Directory
National Provider Directory- Tax ID family
- St Johns Hospital Med
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Certified Registered Nurse Anesthetist
- Detroit, MI
- NPI 1598896995
-
- Nurse Practitioner
- Detroit, MI
- NPI 1700831500
-
- Ambulatory Surgical Clinic/Center
- Macomb, MI
- NPI 1801198387
-
- Urgent Care Clinic/Center
- Harrison TWP, MI
- NPI 1750680757
-
- Cardiovascular Disease Physician
- Detroit, MI
- NPI 1609035229
-
- Critical Access Hospital
- Detroit, MI
- NPI 1669557922
-
- Diagnostic Radiology Physician
- Saint Clair Shores, MI
- NPI 1750546446
-
- Clinic/Center
- Detroit, MI
- NPI 1760513626
-
- Audiologist
- Warren, MI
- NPI 1760708945
-
- Family Medicine Physician
- Saint Clair Shores, MI
- NPI 1780854174
-
- Surgery Physician
- Detroit, MI
- NPI 1598713414
-
- Registered Dietitian
- Detroit, MI
- NPI 1720111701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296086400000",
"number": "1740445337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67000",
"address_2": "DEPARTMENT 184101",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670002",
"telephone_number": "877-996-9975",
"fax_number": "586-228-4533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46591 ROMEO PLANK RD",
"address_2": "SUITE 137",
"city": "MACOMB",
"state": "MI",
"postal_code": "480445742",
"telephone_number": "586-226-6226",
"fax_number": "586-226-6255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOHN HOSPITAL AND MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-23",
"last_updated": "2011-01-27",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "877-996-9975"
},
"taxonomies": [
{
"code": "2085D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Pediatric Radiology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2471B0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Bone Densitometry",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2471C3402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Radiography",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2471M2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Mammography",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2471N0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Sonography",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": "MI",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM GROUP NUMBER",
"identifier": "310E022080",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Romeo Plank Diagnostic Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Macomb, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.