Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

St John Hospital and Medical Center

Organization Family Medicine Physician · NPI 1386892834

St John Hospital and Medical Center provides Family Medicine Physician services 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
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Practice location Address checks out

21099 Masonic Blvd
Saint Clair Shores, MI 48082-1045 Not confirmed with CMS for 13 years — call before visiting
Phone: (586) 296-6213
Fax: (586) 296-8180
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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

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