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

St Joseph Mercy Hospital

Organization Family Medicine Physician · NPI 1114045960

St Joseph Mercy Hospital is a Family Medicine Physician in Ypsilanti, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
Specialties on file
10
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Practice location Address checks out

111 N Huron St Ste 203
Ypsilanti, MI 48197-2676
Phone: (734) 547-7977
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MI)
Internal Medicine Physician Taxonomy 207R00000X (MI)
Hematology & Oncology Physician Taxonomy 207RH0003X
Obstetrics & Gynecology Physician Taxonomy 207V00000X (MI)
Gynecology Physician Taxonomy 207VG0400X (MI)
Gynecologic Oncology Physician Taxonomy 207VX0201X (MI)
Pediatrics Physician Taxonomy 208000000X (MI)
Medical Physician Assistant Taxonomy 363AM0700X
Nurse Practitioner Taxonomy 363L00000X
Obstetrics & Gynecology Nurse Practitioner Taxonomy 363LX0001X

Record details

NPI number1114045960
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ariana Raymond — Manager Provider Enrollment · (734) 343-1466
NPI enumeratedMarch 27, 2007
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address34505 W 12 Mile Rd Ste 200, Farmington Hills, MI 48331-3286

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