Organization Active NPI

Catherine McAuley Health Services

  • Obstetrics & Gynecology Physician
  • Canton, MI
National Provider Identifier
1780876037
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CATHERINE MCAULEY HEALTH SERVICES
Practice address
5800 N Lilley Rd
Canton, MI 48187-3668
Phone
(734) 981-2400
NPI assigned
Aug 10, 2007
Organization subpart
Yes
Parent organization
WESTSIDE OB/ GYNAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Garry Faja
Title
President / Ceo
Phone
(734) 975-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5800 N Lilley Rd
Canton, MI 48187-3668

Mailing address

5800 N Lilley Rd
Canton, MI 48187-3668
Phone (734) 981-2400

Other identifiers 2

IdentifierTypeStateIssuer
0H11068OtherMIBCBS BCN
0M78840OtherMIMEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory
Part of
Medicine Faculty Assoc

Locations

5800 N Lilley Rd
Canton, MI 48187
Phone (734) 407-7900

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1780876037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873668",
            "telephone_number": "734-981-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 N LILLEY RD",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481873668",
            "telephone_number": "734-981-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE MCAULEY HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTSIDE OB/ GYN",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "FAJA",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "734-975-4101"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BCN",
            "identifier": "0H11068",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "0M78840",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.