ST JOSEPH MERCY HOSPITAL
NPI 1902359094
Clinic/Center - Rehabilitation, Cardiac Facilities in Ypsilanti, MI

NPI Status: Active since July 26, 2016

Contact Information

5325 ELLIOTT DR
SUTIE 105
YPSILANTI, MI
ZIP 48197
Phone: (734) 712-8000

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  • Organization
  • Clinic/Center
  • Rehabilitation, Cardiac Facilities

About ST JOSEPH MERCY HOSPITAL

This page provides the complete NPI Profile along with additional information for St Joseph Mercy Hospital, a provider established in Ypsilanti, Michigan operating as a Clinic/center, focusing in rehabilitation, cardiac facilities . The healthcare provider is registered in the NPI registry with number 1902359094 assigned on July 2016. The practitioner's primary taxonomy code is 261QR0404X with license number 1060000071 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Michael P Gusho (Semi Regional Cfo)

NPI
1902359094
Provider Name
ST JOSEPH MERCY HOSPITAL
Entity Type
Organization
Location Address
5325 ELLIOTT DR SUTIE 105 YPSILANTI, MI 48197
Location Phone
(734) 712-8000
Mailing Address
34505 W 12 MILE RD STE 200 FARMINGTON HILLS, MI 48331
Mailing Phone
(734) 343-3922
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-26-2016
Last Update Date
10-05-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Cardiac Facilities

Taxonomy Code
261QR0404X
Type
Ambulatory Health Care Facilities
License No.
1060000071
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL P GUSHO

Authorized Official Title
SEMI REGIONAL CFO
Authorized Official Phone
(734) 712-4041

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
230156MEDICARE PIN (08)MI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902359094
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29026518018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 6 + 5 + 1 + 8 + 0 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1902359094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. SUSAN R. ILLIKMAN N.P.

Nurse Practitioner

(Acute Care)

5325 ELLIOTT DR
YPSILANTI, MI
ZIP 48197

(734) 712-8000

DR. ANDREW LEE PRUITT MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

5325 ELLIOTT DR
SUITE 102
YPSILANTI, MI
ZIP 48197

(734) 712-5500

DR. MANAK SOOD MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

5325 ELLIOTT DR
SUITE 102
YPSILANTI, MI
ZIP 48197

(734) 712-5500

MS. CHRISTINE ANN COLVER RN, MS, ANP-C

Clinical Nurse Specialist

(Acute Care)

5325 ELLIOTT DR
YPSILANTI, MI
ZIP 48197

(734) 712-8000

MICHAEL O'DONNELL MD

Specialist

5325 ELLIOTT DR
SUITE 203
YPSILANTI, MI
ZIP 48197

(734) 712-8000

STEPHEN ROSENBLUM MD

Specialist

5325 ELLIOTT DR
SUITE 203
YPSILANTI, MI
ZIP 48197

(734) 712-8000

M. LAWAUN HANCE PA-C

Physician Assistant

(Surgical)

5325 ELLIOTT DR
SUITE #102
YPSILANTI, MI
ZIP 48197

(734) 712-7202

MR. SCOTT ALLEN ROGERS PA-C

Physician Assistant

(Surgical)

5325 ELLIOTT DR
SUITE 102
YPSILANTI, MI
ZIP 48197

(734) 712-5500

DIANE J. JONES PA-C

Physician Assistant

(Surgical)

5325 ELLIOTT DR
SUITE #102
YPSILANTI, MI
ZIP 48197

(734) 712-7202

MS. JULIE ANN SIDELINGER PA-C

Physician Assistant

(Surgical)

5325 ELLIOTT DR
SUITE 102
YPSILANTI, MI
ZIP 48197

(734) 712-7289

MICHIGAN HEART PC

Specialist

5325 ELLIOTT DR
SUITE 201
YPSILANTI, MI
ZIP 48197

(734) 712-8000

RANDAL P DESROCHERS MD

Surgery

5325 ELLIOTT DR
SUITE 104
YPSILANTI, MI
ZIP 48197

(734) 712-8150

WALLACE A ARNESON JR. MD

Surgery

5325 ELLIOTT DR
SUITE 104
YPSILANTI, MI
ZIP 48197

(734) 712-8150

ROBERT K CLEARY MD

Colon & Rectal Surgery

5325 ELLIOTT DR
SUITE 104
YPSILANTI, MI
ZIP 48197

(734) 712-8150

DR. AJAY GUPTA MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

5325 ELLIOTT DR
SUITE NUMBER 102
YPSILANTI, MI
ZIP 48197

(734) 712-5500

MR. THOMAS JOSEPH FORTON NP

Nurse Practitioner

(Adult Health)

5325 ELLIOTT DR
YPSILANTI, MI
ZIP 48197

(734) 712-8000

DR. MELISSA ELANA MELVIN M.D.

Surgery

5325 ELLIOTT DR
AGVS
YPSILANTI, MI
ZIP 48197

(734) 712-8150

RICHARD A FLANAGAN JR. MD

Colon & Rectal Surgery

5325 ELLIOTT DR
SUITE 104
YPSILANTI, MI
ZIP 48197

(734) 712-8150

BETH C KIMBALL MD

Surgery

5325 ELLIOTT DR
SUITE 104
YPSILANTI, MI
ZIP 48197

(734) 712-8150

EDWARD D KRESKE MD

Surgery

5325 ELLIOTT DR
SUITE 104
YPSILANTI, MI
ZIP 48197

(734) 712-8150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902359094, enumerated as an "organization" on July 26, 2016.

The provider is located at 5325 ELLIOTT DR SUTIE 105 YPSILANTI, MI 48197 and the phone number is (734) 712-8000.

Clinic/Center with taxonomy code 261QR0404X and a focus in Rehabilitation, Cardiac Facilities.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.