Cross-source identifiers
Every current identifier attachment, with the link method and confidence carried verbatim — deterministic links are 1.000; probabilistic links surface their real matcher confidence, never rounded up.
| Scheme | Value | Source table | Link method | Confidence | Since | Provenance |
|---|---|---|---|---|---|---|
| npi | 1114014321 | nppes_providers | deterministic_pk | 1.000 | 2026-06-10 | evidencerecorded: 2026-06-10 methodology: entity-graph/v1 evidence: {"rule":"D-NPI","source_pk":"1114014321","entity_type_code":"2"} |
| pecos_enrlmt_id | O20101111000852 | pecos_providers | exact_npi_in_pecos | 1.000 | 2026-06-16 | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 evidence: {"npi":"1114014321","rule":"D-PECOS","enrlmt_id":"O20101111000852"} |
Graph edges
One-hop relationships — ownership, chain membership, operation — each backed by a federal source row.
| Relationship | Entity | Confidence | Source table | Provenance |
|---|---|---|---|---|
| ← owns | WILFRED FARRELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/23/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0042258287","source_pk":95893,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | THOMAS EVENS CAMPBELL | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/23/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"0941559314","source_pk":95894,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | BRUCE JOSEPH WENZLICK | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/25/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1254718315","source_pk":95895,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | MICHAEL LEVERE ASH | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/27/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1456773126","source_pk":95896,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | MARGARET FREY (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"08/22/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"1557535358","source_pk":95897,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | SHANA M ESPINOZA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/23/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2365727385","source_pk":95898,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | ANTHONY PATSY (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/27/2015","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"2860516093","source_pk":95899,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | HAZEM TABBAA | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/22/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3476848649","source_pk":95900,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | THOMAS EDWARD KURTZ | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"01/01/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"3971030164","source_pk":95901,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | JORRI TREMAIN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/01/2020","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4183906852","source_pk":95902,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | JOSEPH TESTA (MI) | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"09/26/2022","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"4587799135","source_pk":95906,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | BRYAN KENNETH MARKS | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/22/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"5395285969","source_pk":95907,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | MICHAEL DAVID ARDELEAN | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6103338645","source_pk":95908,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | DAVID RAYMOND WAKELAND | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"05/28/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"6204376874","source_pk":95909,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | BARBARA BAKEROMEROD | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/23/2018","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7214286681","source_pk":95910,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | JULIE K MACKAY | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"12/11/2024","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7517494396","source_pk":95911,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | WARD LEE CLARKSON | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"41","association_date":"04/21/2025","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"7911419452","source_pk":95914,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"41","role_text_owner":"CORPORATE DIRECTOR","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
| ← owns | BRIAN L LONG | 1.000 | snf_all_owners | evidencerecorded: 2026-06-16 methodology: entity-graph/v1 attributes: {"role_code":"40","association_date":"01/04/2013","percentage_ownership":null} evidence: {"rule":"D-OWNER","owner_pac":"9133202567","source_pk":95915,"type_owner":"I","enrollment_id":"O20101111000852","role_code_owner":"40","role_text_owner":"CORPORATE OFFICER","dst_resolved_via":"pecos_enrlmt_id","percentage_ownership_raw":null,"enrollment_organization_name":"MEMORIAL HOSPITAL"} |
Current record
Current claims returned for this entity, grouped by provenance subject. The table exposes the source identifier recorded for each claim.
org · 1114014321 JSON
| Metric | Value | Asserted | Source |
|---|---|---|---|
| dba_name | <UNAVAIL> | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| enumeration_date | 2006-10-07 | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| legal_business_name | MEMORIAL HOSPITAL | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| practice_state | MI | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
| primary_taxonomy | 314000000X | 2026-06-10 | Centers for Medicare & Medicaid ServicesNPPES NPI Registry (individuals) 202602 publisher: Centers for Medicare & Medicaid Services retrieved: 2026-06-10 sha256: 8b5267e250fd4df6… claim API: JSON |
Provider screening signals
NPI-keyed source families read directly for 1114014321: federal and state integrity lists, CMS Open Payments, Order and Referring eligibility, Medicare opt-out, and enrollment revalidation. Cells expose the source and provenance fields supplied by the selected record. A screening aid — re-confirm any match against the primary source before acting; absence means nothing on file in the data Fonteum currently holds, never a guarantee none exists.
Sanctions & integrity
Coverage staleExclusion coverage is stale or cannot be reconciled to an attested source artifact. This result is indeterminate and must not be treated as a clearance; check the current issuing-agency lists.
- Coverage status: indeterminate
- Screened 26 integrity lists; no negative determination was made.
14-tuple provenance (26)
Industry payments
None on file0 CMS Open Payments records on file for this NPI.
14-tuple provenance (1)
Order & referring eligibility
None on fileNo CMS Order and Referring record on file for this NPI.
14-tuple provenance (1)
Medicare opt-out
None on fileNo CMS Medicare opt-out affidavit on file for this NPI.
14-tuple provenance (1)
Revalidation
On file1 Medicare enrollment record on file.
- Due date: TBD upstream — not due within the ensuing six months.
14-tuple provenance (1)
Point-in-time
Query retained claim coordinates under bitemporal-read/v1. Most facts have no superseded row; dates outside retained coverage may return no prior version, and diffs require both coordinates.
Pick a date to reconstruct, or two dates to diff. Equivalent JSON: /api/v1/history/{subject_type}/{subject_id}?at=… and …/diff?from=…&to=…