JACKSON CARDIOLOGY CONSULTANTS PLLC (NPI# 1053970624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053970624 |
| Entity Type | Organization |
| Organization Name | JACKSON CARDIOLOGY CONSULTANTS PLLC |
| Practice Address |
205 Page Ave Jackson MI 49201-2462 |
| Mailing Address |
1701 Lake Lansing Rd Ste 100 Lansing MI 48912-3798 |
| Practice Telephone | 5177873577 |
| Practice Fax Number | 5177874280 |
| Mailing Telephone | 5174850001 |
| Mailing Fax Number | 5174852622 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | TAREQ BAGHAL (OWNER) |
| Authorized Official Telephone | 5177873577 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Street Address |
205 PAGE AVE |
| City | JACKSON |
| State | MI |
| Zip Code | 49201-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770549099 | Rajendra H Mehta | Internal Medicine | 205 Page Ave, Suite B, Jackson, MI 49201-2462 | 2006-04-25 |
| 1295349967 | Tanya M Mccave-dingley | Nurse Practitioner | 205 Page Ave, Jackson, MI 49201-2462 | 2020-09-01 |
| 1356668610 | Michigan Institute of Neurological Diseases, Pllc | Psychiatry & Neurology | 205 Page Ave, Suite B, Jackson, MI 49201-2462 | 2010-04-27 |
| 1124296454 | Bhavna J Patel | Dentist | 205 Page Ave, Suite A, Jackson, MI 49201-2462 | 2008-02-20 |
| 1811023872 | Dr. Bhavna Patel D.d.s, P.c | Dentist | 205 Page Ave, Ste A, Jackson, MI 49201-2462 | 2007-02-26 |
| 1891705745 | Bischan Hassunizadeh | Specialist | 205 Page Ave, Suite B, Jackson, MI 49201 | 2006-08-09 |
| 1841200722 | Jackson Cardiology & Associates | Internal Medicine | 205 Page Ave, Jackson, MI 49201 | 2006-08-09 |
| 1366408692 | Jashu Patel | Internal Medicine | 205 Page Ave, Jackson, MI 49201-2462 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174137863 | Sally Ann Shaw | Behavior Technician | 3699 Miles Rd., Jackson, MI 49201 | 2020-09-01 |
| 1780293043 | Alyn Kristin Kay | Technician | Hope Network-hope's Door Cru, 3699 Miles Rd., Jackson, MI 49201 | 2020-07-23 |
| 1841827946 | Maverick Jubane | Student in an Organized Health Care Education/Training Program | Henry Ford Allegiance Health, 205 N East Avenue, Jackson, MI 49201 | 2020-03-26 |
| 1306486584 | Cody Williams | Technician, Other | 1001 Laurence Avenue St E, Jackson, MI 49201 | 2020-01-15 |
| 1720632292 | Krystie Lynn Adorjan | Speech-Language Pathologist | 1175 W Parnall Rd, Jackson, MI 49201 | 2019-08-01 |
| 1407412653 | Howard Franklin Tanner II | Speech-Language Pathologist | 102 East Michigan Avenue, Jackson, MI 49201 | 2019-05-14 |
| 1356863740 | Rima Zarar Qayyum | Speech-Language Pathologist | 4800 Firethorn Dr., Jackson, MI 49201 | 2017-07-07 |
| 1306384383 | Briana Nesmith | Speech-Language Pathologist | 2025 Ann Arbor Road, Jackson, MI 49201 | 2017-02-09 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1306212881 | Aisha Henderson | Social Worker | 729 West Michigan Avenue, Jackson, MI 49201 | 2015-08-19 |
| Find all providers in zip 49201 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467494070 | Apex Cardiology PC | Internal Medicine | 327 Summar Dr, Jackson, TN 38301-3930 | 2006-06-11 |
| 1053873133 | Cms Care of Ms, LLC | Internal Medicine | 460 Briarwood Dr Ste 400, Jackson, MS 39206-3062 | 2019-04-05 |
| 1497292361 | W.a. Foote Memorial Hospital, Inc | Internal Medicine | 205 N. East Ave, Jackson, MI 49201 | 2017-01-30 |
| 1841602257 | Mississippi Vascular Center, Pllc | Internal Medicine | 571 E Beasley Rd, Jackson, MS 39206-3042 | 2014-05-20 |
| 1629207170 | Shawn Sanders | Internal Medicine | 501 Marshall St Ste 104, Jackson, MS 39202-1663 | 2009-07-06 |
| 1558523464 | Montoya Taylor | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2008-07-01 |
| 1679506547 | Tommy L. Miller IIi | Internal Medicine | 48 Medical Center Dr, Jackson, TN 38301-3947 | 2006-07-07 |
| 1811939424 | Henry K S Lui | Internal Medicine | 327 Summar Dr, Jackson, TN 38301-3930 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528606241 | Cypress Cardiology Pa | Internal Medicine | 1286 S Linden Rd Ste A, Flint, MI 48532-3457 | 2019-12-12 |
| 1609342757 | Michael Ira Klein | Internal Medicine | 111 Elm St Apt 331, Birmingham, MI 48009-6346 | 2018-10-16 |
| 1568954600 | Schreiber Cardiology, P.C. | Internal Medicine | 8545 Common Rd Ste 150, Warren, MI 48093 | 2018-06-05 |
| 1003319096 | Michigan Canton Cardiology Associates Pllc | Internal Medicine | 4020 Venoy Rd Ste 200, Wayne, MI 48184-1899 | 2018-03-15 |
| 1700337227 | Prime Vascular Center Pllc | Internal Medicine | G-5103 Miller Rd, Flint, MI 48507-1043 | 2016-10-19 |
| 1003366675 | K Heart & Vascular Institute, Pllc | Internal Medicine | 33376 Dequindre Road, Sterling Heights, MI 48310-5966 | 2016-10-07 |
| 1255738472 | Ashok Kondur Md PC | Internal Medicine | 4160 John R St Ste 525, Detroit, MI 48201-2022 | 2014-12-03 |
| 1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
| 1477845824 | Ehk Endovascular Pllc | Internal Medicine | 5500 Auto Club Drive, Suite 250, Dearborn, MI 48126-2683 | 2011-05-04 |
| 1134410970 | Erik Henry Howell | Internal Medicine | 14555 Levan Rd Ste 203, Livonia, MI 48154 | 2011-04-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACKSON CARDIOLOGY CONSULTANTS PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.