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ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS
NPI 1174691075
Radiology - Diagnostic Radiology in Detroit, MI

Active since December 01, 2006
7733 E JEFFERSON AVE, DETROIT, MI 48214(313) 499-4160 Get Directions Write a Review

NPPES record last updated: January 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About St John Health System Detroit Macomb Campus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS (NPI 1174691075) is a healthcare organization registered as a diagnostic radiology in Detroit, Michigan and active in the NPI registry since December 2006. The organization lists Diane Pressley Capers, Vice President, as its authorized official.

NPPES Registry Identity

NPI1174691075
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameST JOHN HEALTH SYSTEM DETROIT MACOMB CAMPUS
Location Address7733 E JEFFERSON AVEDetroit, MI 48214
Mailing Address44000 Garfield RoadClinton Twp, MI 48038-1125 · (586) 412-4000 · Fax (586) 412-4102
Phone(313) 499-4160
Organization SubpartNo
Authorized OfficialDiane Pressley CapersVice President · (313) 499-4100
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 22, 2008
✔ NPI 1174691075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
7733 E JEFFERSON AVE, Detroit, MI 48214
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Other Identifiers 1

Medicare ID-Type UnspecifiedON68030MI

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST JOHN MACOMB OAKLAND HOSPITAL
Pathology (Anatomic Pathology & Clinical Pathology)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4000
MUTHUVASUKI VEERAPPAN M.D.
Anesthesiology
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4254
ST JOHN MACOMB OAKLAND HOSPITAL
Internal Medicine (Cardiovascular Disease)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4000
MR. JOHN HOGIER ESPINA OTR
Occupational Therapist
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4569
DR. FRANK BEVER MD
Pathology (Anatomic Pathology & Clinical Pathology)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-3000
LEOPOLDO P PALAD JR. M.D.
Anesthesiology
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4254
DR. DIANE L MAENNLE MD
Pathology (Anatomic Pathology & Clinical Pathology)
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-3000
MR. MICHAEL J MARTINKO PTA
Physical Therapy Assistant
7733 E JEFFERSON AVE
DETROIT, MI 48214
Wayne County (313) 499-4572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St John Health System Detroit Macomb Campus's NPI number?

The NPI number for St John Health System Detroit Macomb Campus is 1174691075. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is St John Health System Detroit Macomb Campus located?

St John Health System Detroit Macomb Campus is located at 7733 E Jefferson Ave, Detroit, MI 48214. The listed phone number is (313) 499-4160.

What is St John Health System Detroit Macomb Campus's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for St John Health System Detroit Macomb Campus was last updated on January 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.