JACK AVEDIKIAN


Address: 2333 Biddle Ave, Wyandotte, MI 48192-4668
Phone: 7342468004

JACK AVEDIKIAN (NPI# 1194354993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194354993
Entity Type Individual
Full Name JACK AVEDIKIAN
Credential MD
Practice Address 2333 Biddle Ave
Wyandotte
MI 48192-4668
Practice Telephone 7342468004
Mailing Telephone 7342468004
Enumeration Date 2020-04-03
Last Update Date 2020-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 4351046535 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2333 BIDDLE AVE
City WYANDOTTE
State MI
Zip Code 48192-4668

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669477246 Samra Khurshid Internal Medicine 2333 Biddle Ave, Henry Ford Wyandotte, Wyandotte, MI 48192 2005-06-20
1700404043 Madelyn Marie Stover Registered Nurse 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-07-13
1114547429 Elizabeth Ann Miller Emergency Medicine 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-17
1548889108 Harini Vijay Emergency Medicine 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-14
1659990679 Torrey Brooke Halbert Obstetrics & Gynecology 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-09
1306475561 Mohammad Umar Khan Podiatrist 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-08
1780213959 Macklin Loveland Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-08
1649809989 Ann-sophie Van Backle Obstetrics & Gynecology 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-08
1346879244 Zachary Ryan Mauro Emergency Medicine 2333 Biddle Ave, Medical Education Department, Wyandotte, MI 48192 2020-04-03
1972132934 Caleb Robert Alley Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912541673 Wayne Pharma Pharmacy 974 Ford Ave, Wyandotte, MI 48192 2019-11-05
1598226029 Alicia Paulette Flores Emergency Medicine Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 2019-03-27
1912483819 Fast Care Pharmacy LLC Pharmacy 1209 Fort St, Wyandotte, MI 48192 2018-07-13
1518464106 Tyson Reed Mckechnie Emergency Medicine Henry Ford Wyandotte Hospital, Medical Education Dept., 2333 Biddle Ave., Wyandotte, MI 48192 2018-04-10
1275038572 Joanna Fourtounis Emergency Medicine Henry Ford Wyandotte Medical Education Office, 2333 Biddle Ave, Wyandotte, MI 48192 2018-03-28
1841794120 Henry Tan Student in an Organized Health Care Education/Training Program Henry Ford Wyandotte Hospital, Medical Education Depart, 2333 Biddle Ave, Wyandotte, MI 48192 2018-03-21
1174042857 Ashley Marie Kobylasz Social Worker 1506 16th Street, Wyandotte, MI 48192 2017-09-14
1831630631 Vanessa Majeski Surgery 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 2017-03-13
1346796984 Jordan Yagiela Community/Behavioral Health 1940 Ludington Street, Wyandotte, MI 48192 2016-09-01
1649642505 Superior Visions Inc In Home Supportive Care 2709 Fort Street, Wyandotte, MI 48192 2015-10-30
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831630631 Vanessa Majeski Surgery 8333 Biddle Ave, Henry Ford Wyandotte Hospital, Wyandotte, MI 48192 2017-03-13
1437573045 Mitchell Andrew Goettman Surgery 2333 Biddle Ave # M, Wyandotte, MI 48192-4668 2014-02-18
1417052424 Krishna K. Sawhney Surgery Wyandotte Hospital, 2333 Wyandotte, Wyandotte, MI 48192 2006-09-14
1053424051 Myung S Kim Surgery 3333 Biddle St, Suite C, Wyandotte, MI 48192-6284 2006-08-16
1780213959 Macklin Loveland Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-08
1972132934 Caleb Robert Alley Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2020-04-02
1134681851 Christine Marie Joliat Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2019-04-02
1962963264 Bedir Akbar Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2019-03-28
1104386044 Afroze Ahmed Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2019-03-25
1588153001 Adel Hanandeh Surgery 2333 Biddle Ave, Wyandotte, MI 48192-4668 2018-05-10
Find all providers in WYANDOTTE

Competitor

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City WYANDOTTE
Zip Code 48192

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Dataset Information

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.

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