MEDICARE: SAINT JOSEPH MERCY LIVINGSTON HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207ZD0900X	Dermatopathology (Pathology) Physician
3	207ZB0001X	Blood Banking & Transfusion Medicine Physician
4	207ZI0100X	Immunopathology Physician
5	207V00000X	Obstetrics & Gynecology Physician
6	363LX0001X	Obstetrics & Gynecology Nurse Practitioner
7	363L00000X	Nurse Practitioner
8	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
9	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	220D748270	OTHER	MI	BS BCN PATHOLOGY

General Provider Information

NPI Number	:	1730208778
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT JOSEPH MERCY LIVINGSTON HOSPITAL

Provider Business Mailing Address
First Line	:	5301 E HURON RIVER DR
Second Line	:	PO BOX 993, MC 69504
City	:	YPSILANTI
State	:	MI
Zip	:	48197-1051
Country	:	US
Telephone Number	:	734-712-3456
Fax Number	:

Provider Business Practice Location Address
First Line	:	7555 GRAND RIVER RD
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9338
Country	:	US
Telephone Number	:	810-854-8000
Fax Number	:

Authorized Official
Title or Position	:	MANAGER PROVIDER ENROLLMENT
Name	:	ARIANA GRACE RAYMOND
Credential	:
Telephone Number	:	734-343-1466

Provider Enumeration Date	:	03/29/2007
Last Update Date	:	05/05/2026

Similar Medicare Providers

1922127976 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7555 GRAND RIVER RD
BRIGHTON, MI
48114-9338

Practice Phone: 810-854-8000
Practice Fax:

1356460323 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7555 GRAND RIVER RD
BRIGHTON, MI
48114-9338

Practice Phone: 810-854-8000
Practice Fax:

1093748642 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7555 GRAND RIVER RD
BRIGHTON, MI
48114-9338

Practice Phone: 810-854-8000
Practice Fax:

1619674017 — MICHELLE MEGAN WAGAR LPC
Practice Location Address:

2200 GENOA BUSINESS PARK DR STE 100
BRIGHTON, MI
48114-5328

Practice Phone: 517-492-0517
Practice Fax: 810-215-1334

1497874531 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7575 GRAND RIVER , URG CARE
BRIGHTON, MI
48114

Practice Phone: 810-844-7511
Practice Fax:

1649399684 — SAINT JOSEPH MERCY LIVINGSTON HOSPITAL
Practice Location Address:

7575 GRAND RIVER , URG CARE
BRIGHTON, MI
48114

Practice Phone: 810-844-7511
Practice Fax:

Directions to “SAINT JOSEPH MERCY LIVINGSTON HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.