NPIMap

Organization Active NPI

St Mary Mercy Hospital

  • Prosthetic/Orthotic Supplier
  • Livonia, MI
National Provider Identifier
1861554040
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
ST MARY MERCY HOSPITAL
Practice address
36475 5 Mile Rd
Livonia, MI 48154-1971
Phone
(735) 655-4800
Fax
(734) 655-2609
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Mr. Michael Paul Gusho
Title
Cheif Financial Officer
Phone
(734) 655-2909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

36475 5 Mile Rd
Livonia, MI 48154-1971

Mailing address

36475 Five Mile Road
Livonia, MI 48154-9978
Phone (735) 655-4800

Other identifiers 3

IdentifierTypeStateIssuer
00243OtherMIBCBSM ACUTE CARE
4200547MedicaidMI
4200538MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
St Mary Mercy Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1861554040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36475 FIVE MILE ROAD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481549978",
            "telephone_number": "735-655-4800",
            "fax_number": "734-655-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36475 5 MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541971",
            "telephone_number": "735-655-4800",
            "fax_number": "734-655-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "GUSHO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "734-655-2909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM ACUTE CARE",
            "identifier": "00243",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200547",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4200538",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

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