OrganizationActive
St Joseph Mercy Hospital
NPI 1508985045 · Family Medicine Physician · Ypsilanti, MI
Provider details
- NPI number
- 1508985045
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ariana Raymond, Manager Provider Enrollment(734) 343-1466
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
111 N Huron Street
Suite D225
Ypsilanti, MI 48197-1051
Phone: (734) 712-3456
Street-level locationGet directions
Mailing address
34505 W 12 Mile Rd Ste 200
Farmington Hills, MI 48331-3286
Registry dates
- Enumerated
- 2007-03-28
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.