St. John Macomb Township Emergency Physicians, P.C.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ST. JOHN MACOMB TOWNSHIP EMERGENCY PHYSICIANS, P.C.

Practice address

17700 23 Mile Road
Macomb Township, MI 48044

Phone

(586) 416-7500

NPI assigned

Jun 25, 2007

Last updated

Oct 17, 2007By 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

Dr. James M. Fox, M.D.

Title

Vice President

Phone

(586) 294-0600

Specialties & licenses 1

Addresses

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.

• Anthony Southall, MD

  • Emergency Medicine Physician
  • Southfield, MI
  • NPI 1780639179
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1982800157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17717 MASONIC",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263158",
            "telephone_number": "586-294-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 23 MILE ROAD",
            "city": "MACOMB TOWNSHIP",
            "state": "MI",
            "postal_code": "48044",
            "telephone_number": "586-416-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOHN MACOMB TOWNSHIP EMERGENCY PHYSICIANS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "586-294-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Henry McQuiston, D.O.
• Paul Glenn Miller Jr., R.PH.
• Michael P Nedley, DDS
• Douglas Gordon Paulk, D.O.
• Kostyantyn Shkilnyy
• Nicole Marie Wilbraham, D.C.

• Emergency Medicine Physician in Macomb Township, MI
• Providers in Macomb Township, MI by specialty
• Emergency Medicine Physician in Michigan

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