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Organization

Henry Ford Health St. John Hospital

NPI Record: ActiveOtolaryngology
NPI1376820605
Saint Clair Shores, Michigan

Provider's NPPES record last updated: May 19, 2026

Overview

Entity Type
Organization
NPI
1376820605
Primary Specialty
Otolaryngology
Practice Location
Saint Clair Shores, Michigan
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 20, 2026, 2:42 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

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This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

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Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Otolaryngology

    Allopathic & Osteopathic Physicians

    Primary

    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

    Taxonomy code 207Y00000X
  • Internal Medicine

    Allergy & Immunology

    Allopathic & Osteopathic Physicians

    An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

    Taxonomy code 207RA0201X
  • Otolaryngology

    Pediatric Otolaryngology

    Allopathic & Osteopathic Physicians

    A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

    Taxonomy code 207YP0228X
  • Otolaryngology

    Facial Plastic Surgery

    Allopathic & Osteopathic Physicians

    An otolaryngologist who specializes in facial plastic surgery.

    Taxonomy code 207YS0123X
  • Otolaryngology

    Plastic Surgery within the Head & Neck

    Allopathic & Osteopathic Physicians

    An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.

    Taxonomy code 207YX0007X
  • Otolaryngology

    Otology & Neurotology

    Allopathic & Osteopathic Physicians

    An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

    Taxonomy code 207YX0901X
  • Otolaryngology

    Otolaryngology/Facial Plastic Surgery

    Allopathic & Osteopathic Physicians

    An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

    Taxonomy code 207YX0905X

Practice Locations

Practice Location

21000 E 12 Mile Rd Ste 111

Saint Clair Shores, Michigan 48081-1156

Phone: (586) 779-7610

Other Names

  • Henry Ford St. John HospitalReported January 28, 2025
  • Lakeshore ENT CenterReported January 28, 2025
  • Lakeshore ENT CenterReported November 15, 2011

Record Information

Enumeration Date
November 15, 2011
Provider's NPPES Record Last Updated
May 19, 2026
Certification Date
May 19, 2026
NPISignal NPPES Dataset
August 2026

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