NPIMap

Organization Active NPI

Sinai Hospital of Greater Detroit

Doing business as Sinai Grace Physicians Assistants Group

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1881633022
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
SINAI HOSPITAL OF GREATER DETROIT
Doing business as
Sinai Grace Physicians Assistants Group
Practice address
6071 W Outer Dr
Sinai Grace Physicians Assistant Group
Detroit, MI 48235-2624
Phone
(313) 966-3300
Fax
(810) 765-8169
NPI assigned
Jun 5, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ronald Xavier Stavale, PAC
Title
Manager
Phone
(313) 440-4479

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

6071 W Outer Dr
Sinai Grace Physicians Assistant Group
Detroit, MI 48235-2624

Mailing address

6071 W Outer Dr
Sinai Grace Physicians Assistant Group
Detroit, MI 48235-2624
Phone (313) 966-3300

Other names 1

  • Sinai Grace Physicians Assistants Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kyle Medical10 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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1881633022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "address_2": "SINAI GRACE PHYSICIANS ASSISTANT GROUP",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3300",
            "fax_number": "810-765-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6071 W OUTER DR",
            "address_2": "SINAI GRACE PHYSICIANS ASSISTANT GROUP",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352624",
            "telephone_number": "313-966-3300",
            "fax_number": "810-765-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINAI HOSPITAL OF GREATER DETROIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STAVALE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-440-4479",
        "authorized_official_credential": "PAC"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sinai Grace Physicians Assistants Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.