PROMEDICA MONROE CARDIOLOGY, PLLC (NPI# 1659676708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659676708 |
| Entity Type | Organization |
| Organization Name | PROMEDICA MONROE CARDIOLOGY, PLLC |
| Other Organization Name | PROMEDICA CARDIOLOGY OF MONROE |
| Practice Address |
730 N Macomb St Suite 429 Monroe MI 48162-2900 |
| Mailing Address |
1 Seagate Suite 800 Toledo OH 43604-1558 |
| Practice Telephone | 7342427060 |
| Practice Fax Number | 7342417580 |
| Mailing Telephone | 5675851934 |
| Mailing Fax Number | 4198247359 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2016-08-09 |
| Authorized Official Name | AMY L DYWER (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 5675851934 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3126683 | 05 |
| Other Name | Type Code |
|---|---|
| ProMedica Cardiology of Monroe | Doing Business As Name - Organization |
| Street Address |
730 N MACOMB ST SUITE 429 |
| City | MONROE |
| State | MI |
| Zip Code | 48162-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983812 | Ashwin H Shah | Urology | 730 N Macomb St, Ste 319, Monroe, MI 48162 | 2005-06-23 |
| 1083959522 | Promedica Central Physicians LLC | Pediatrics | 730 N Macomb St, Suite 300, Monroe, MI 48162-2900 | 2012-12-11 |
| 1366721011 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 730 N Macomb St, Suite 429, Monroe, MI 48162-2900 | 2011-08-12 |
| 1760632962 | Monroe Arthritis Clinic Pllc | Internal Medicine | 730 N Macomb St, Suite 320, Monroe, MI 48162-2900 | 2008-09-24 |
| 1104092337 | Michael J Charboneau Jr Do Pllc | Surgery | 730 N Macomb St, Suite 329, Monroe, MI 48162-2900 | 2008-05-07 |
| 1003091141 | Monroe Ear, Nose and Throat Associates, P.C. | Audiologist | 730 N Macomb St, Suite 320, Monroe, MI 48162-2900 | 2008-01-08 |
| 1467641951 | Usha R Tampi | Internal Medicine | 730 N Macomb St, Suite 229, Monroe, MI 48162-2900 | 2007-10-19 |
| 1407995822 | Ashwin H Shah Md PC | Urology | 730 N Macomb St, Suite 319, Monroe, MI 48162-2900 | 2007-02-05 |
| 1194893081 | Cardiology Consultants of Michigan & Ohio, P.C. | Specialist | 730 N Macomb St, Ste #429, Monroe, MI 48162-2900 | 2006-12-01 |
| 1386724987 | Lisa M Vick | Pharmacist | 730 N Macomb St, Monroe, MI 48162-2900 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1902443310 | Affinity Health Gorup, LLC | Internal Medicine | 2516 Broadmoor Blvd Ste 2, Monroe, LA 71201-2988 | 2019-12-04 |
| 1235372426 | D. Scott Burkett, M.d. (a Medial Corporation) | Internal Medicine | 513 Walnut St, Monroe, LA 71201-6229 | 2009-04-17 |
| 1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
| 1033281811 | Advanced Heart Care | Internal Medicine | 1414 Stewart Rd, Monroe, MI 48162-9228 | 2006-11-15 |
| 1982799532 | Northeast Louisiana Cardiovascular | Internal Medicine | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2006-10-03 |
| 1528170255 | Kurt D Olinde | Internal Medicine | 3370 Deborah Dr, Monroe, LA 71201-2151 | 2006-08-31 |
| 1841237286 | Rezaul Islam | Internal Medicine | 3100 Forsythe Ave, Monroe, LA 71201-3014 | 2006-06-02 |
| 1043257090 | Shayne R Squires | Internal Medicine | 2151 W Spring St Ste B110, Monroe, GA 30655-3209 | 2006-05-31 |
| 1841274768 | Godfrey Achilihu | Internal Medicine | 614 N 2nd St, Monroe, LA 71201-6236 | 2005-12-05 |
| 1205820255 | Emile Anthony Barrow Jr. | Internal Medicine | 1100 N 18th St Ste 100, Monroe, LA 71201-5712 | 2005-09-06 |
| Find all providers in MONROE | ||||
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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.