REGENTS OF THE UNIV OF MICHIGAN HEART SURGERY PROGRAM CRITTETON (NPI# 1346435161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346435161 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIV OF MICHIGAN HEART SURGERY PROGRAM CRITTETON |
| Practice Address |
1101 W University Dr Rochester MI 48307 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 2486526927 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | DAVID A SPAHLINGER (EXEC MEDICAL DIRECTOR FACULTY GRP P) |
| Authorized Official Telephone | 7349363568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIV OF MICHIGAN HEART SURGERY PROGRAM CRITTETON |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215962378 | Regents of The Univ of Michigan Heart Surgery Program Critteton | Surgery | 1135 W University Drive, Suite 205, Rochester Hills, MI 48307 | 2006-07-11 |
| Street Address |
1101 W UNIVERSITY DR |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811975097 | Katia Nakahodo | Emergency Medicine | 1101 W University Dr, Rochester, MI 48307-1863 | 2006-01-06 |
| 1770190837 | Elizabeth Poikey Luoma | Nurse Anesthetist, Certified Registered | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-09-23 |
| 1578181038 | Kelash Rai | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-07-10 |
| 1700403441 | George-joseph Nahal | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-29 |
| 1225655079 | Vrushank Patel | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-27 |
| 1285250738 | Warda Zaidi | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-21 |
| 1427672245 | Hassan Ishaq | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-06-08 |
| 1083237085 | Inpatient Hospitalists and Internists, PC | Internal Medicine | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-05-26 |
| 1306465794 | Joshua Gorney | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-04-15 |
| 1760001150 | Jacob Scott Gorney | Student in an Organized Health Care Education/Training Program | 1101 W University Dr, Rochester, MI 48307-1863 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018596 | Darwin Yeung | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2019-02-02 |
| 1336628007 | Walid Barake | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0002 | 2018-08-13 |
| 1790203156 | Avi Sabbag | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-09-06 |
| 1366883712 | Fatima Ali-ahmed | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2013-07-15 |
| 1891044400 | Narayan Gurukrip Kowlgi | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2012-08-29 |
| 1770740417 | Siva K Mulpuru | Internal Medicine | 200 1st St Sw, Rochester, MN 55905 | 2008-05-20 |
| 1326246380 | Jeffrey M Vinocur | Internal Medicine | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2007-07-10 |
| 1760527113 | Nicolas Mikhael Karam | Internal Medicine | 21 Whitehall Rd, Suite 301, Rochester, NH 03867-3236 | 2007-02-21 |
| 1942380373 | Bryan Cannon | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788367 | Tsz Kin Tam | Internal Medicine | 1500 E Medical Center Dr Spc 5869, Ann Arbor, MI 48109-5869 | 2020-07-29 |
| 1861804023 | Ashish Gangasani Md Pllc | Internal Medicine | 6881 Brook Hollow Ct, West Bloomfield, MI 48322-5208 | 2014-05-22 |
| 1245675792 | West Michigan Heart | Internal Medicine | 705 Oak St Unit 1, Big Rapids, MI 49307-3109 | 2013-05-09 |
| 1093941395 | Firas Zahwe | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2009-06-02 |
| 1215145420 | Hossam Eldin Imam Mustafa | Internal Medicine | 900 Cooper Ave Ste 4100, Saginaw, MI 48602 | 2007-05-19 |
| 1063588382 | Arrhythmia Center of Southwest Michigan | Internal Medicine | 7901 12th Street, Suite 201, Portage, MI 49024 | 2006-11-28 |
| 1609838804 | Francis A Grubelich | Internal Medicine | 7901 12th St, Ste 201, Portage, MI 49024 | 2006-04-04 |
| 1639725252 | Yuet Wong Cheng | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-08-11 |
| 1629537147 | Michigan Heart Rhythm Center Pllc | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2019-03-14 |
| 1679030530 | Heart and Vascular Institute | Internal Medicine | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2019-02-27 |
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| 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.