Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St John Hospital and Medical Center

Organization Family Medicine Physician · NPI 1386892834

St John Hospital and Medical Center is a Family Medicine Physician in Saint Clair Shores, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008
Specialties on file
2

Practice location Address checks out

21099 Masonic Blvd
Saint Clair Shores, MI 48082-1045
Phone: (586) 296-6213
Fax: (586) 296-8180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X (MI)
Family Medicine Physician Taxonomy 207Q00000X (MI)

Record details

NPI number1386892834
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Johnson — Director · (586) 228-4560
Other names Masonic Urgent Care Center
NPI enumeratedSeptember 8, 2008
Last updated in NPPESDecember 12, 2012
Mailing address21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045

Other providers in Saint Clair Shores