ANTHONY G FABAZ (NPI# 1568525764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568525764 |
| Entity Type | Individual |
| Full Name | ANTHONY G FABAZ |
| Credential | D.O. |
| Practice Address |
5 N Atkinson Dr Suite 304 Ludington MI 49431-2918 |
| Mailing Address |
5 N Atkinson Dr Ste 304 Ludington MI 49431-2918 |
| Practice Telephone | 2318432600 |
| Practice Fax Number | 2318432665 |
| Mailing Telephone | 2318432600 |
| Mailing Fax Number | 2318432665 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
5101006766 | MI | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | AF006766 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
5 N ATKINSON DR SUITE 304 |
| City | LUDINGTON |
| State | MI |
| Zip Code | 49431-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609861210 | Donald N Schwing | Surgery | 5 N Atkinson Dr, Suite 205, Ludington, MI 49431-2918 | 2005-09-20 |
| 1699224089 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 5 N Atkinson Dr, Ludington, MI 49431-2918 | 2016-09-26 |
| 1144639360 | Memorial Medical Center of West Michigan | Pediatrics | 5 N Atkinson Dr, Ludington, MI 49431-2918 | 2014-08-13 |
| 1336473230 | Michelle Marie Gentry | Nurse Practitioner | 5 N Atkinson Dr, Suite 2013, Ludington, MI 49431-2918 | 2009-09-24 |
| 1366677783 | R. Joseph Grierson, D.o., Plc | Orthopaedic Surgery | 5 N Atkinson Dr, Suite #200, Ludington, MI 49431-2918 | 2009-05-29 |
| 1568630101 | Margaret E Gustafson Md PC | Specialist | 5 N Atkinson Dr, Suite 203, Ludington, MI 49431-2918 | 2008-02-18 |
| 1669672549 | Dr Daniel G Reum Do PC | Urology | 5 N Atkinson Dr, Suite 205, Ludington, MI 49431-2918 | 2007-07-19 |
| 1669504882 | Persson Internal Medicine,p.c | Internal Medicine | 5 N Atkinson Dr, Suite #207, Ludington, MI 49431-2918 | 2007-03-12 |
| 1083753479 | Lakeshore Vein &laser Clinic Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 N Atkinson Dr, Suite 304, Ludington, MI 49431-2918 | 2007-02-05 |
| 1154409027 | Cheryl M York | Nurse Practitioner | 5 N Atkinson Dr, Suite 201, Ludington, MI 49431-2918 | 2006-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972006690 | Marti Miller | Physical Therapist | 5916 Iris Rd., Ludington, MI 49431 | 2018-03-09 |
| 1700258670 | Leslie Hahn Ezdebski | Registered Nurse | 318 River St., Suite B, Manistee, MI 49431 | 2015-10-30 |
| 1477888618 | Kathleen M Tooman | Orthotic Fitter | 901 E Tinkham Avenue, Ludington, MI 49431 | 2009-10-06 |
| 1790831592 | Roger Edgren Ostling | Social Worker | 1027 N Rath, Ludington, MI 49431 | 2007-01-25 |
| 1487734364 | Kathryn Jean Niemeyer | Nurse Practitioner | 5 Atkinson Drive, Suite #207, Ludington, MI 49431 | 2006-10-16 |
| 1609986405 | Vivek Thakore | Clinic/Center | 5511 West Us 10 Hwy, Ludington, MI 49431 | 2006-08-30 |
| 1295747756 | Barbara Sleder | Nurse Practitioner | 1 North Atkinson Dr, Ludington, MI 49431 | 2006-08-13 |
| 1083653893 | William L Ingle Dc | Chiropractor | 321 N Jebavy Drive, Ludington, MI 49431 | 2006-06-06 |
| 1366429706 | Andrew S Riemer | Ophthalmology | 5959 Lawndale St, Ludington, MI 49431 | 2005-12-28 |
| 1699240085 | Toby Wessel, Lmsw, Pllc | Social Worker | 612 Sherman Oaks Dr, Ludington, MI 49431 | 2018-10-11 |
| Find all providers in zip 49431 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
| 1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
| 1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
| 1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
| 1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
| 1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
| 1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
| 1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
| 1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
| 1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.