ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC (NPI# 1669984480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669984480 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC |
| Practice Address |
1525 E Beltline Ave Ne Grand Rapids MI 49525-4598 |
| Practice Telephone | 6164478220 |
| Mailing Telephone | 6164478220 |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | FADI A SAAB (OWNER) |
| Authorized Official Telephone | 6164478220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1528028412 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3370 E Jolly Rd Ste A, Lansing, MI 489108552 | 5174455900 |
| Street Address |
1525 E BELTLINE AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-4598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407842057 | Cynthia Lynn Hanson | Physician Assistant | 1525 E Beltline Ave Ne, Suite 101, Grand Rapids, MI 49525-4598 | 2005-09-20 |
| 1760824452 | West Michigan Heart | Internal Medicine | 1525 E Beltline Ave Ne, Grand Rapids, MI 49525-4598 | 2013-07-23 |
| 1316271711 | Matthew R Rauch | Physician Assistant | 1525 E Beltline Ave Ne, Ste. 101, Grand Rapids, MI 49525-4598 | 2009-10-01 |
| 1760689673 | Joseph Talcott D.o., P.C. | Obstetrics & Gynecology | 1525 E Beltline Ave Ne, Grand Rapids, MI 49525-4598 | 2007-07-03 |
| 1861526196 | Gastroenterology Consultants Plc | Internal Medicine | 1525 E Beltline Ave Ne, #101, Grand Rapids, MI 49525-4598 | 2007-03-16 |
| 1528155025 | David A Boone | Dentist | 1525 E Beltline Ave Ne, Suite 202, Grand Rapids, MI 49525-4598 | 2006-10-06 |
| 1326090275 | Nancy J Brooke | Allergy & Immunology | 1525 E Beltline Ave Ne, Ste 102, Grand Rapids, MI 49525-4598 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1952697252 | Abiy Temesgen Nigatu | Internal Medicine | 1000 E Paris Ave Se Ste 200, Grand Rapids, MI 49546 | 2011-06-24 |
| 1386786044 | William M Merhi | Internal Medicine | 100 Michigan St Ne Ste 8850, Grand Rapids, MI 49503-2560 | 2007-02-12 |
| 1174521116 | Duane C Berkompas | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2005-07-13 |
| 1619217890 | Joseph John Vettukattil | Internal Medicine | 100 Michigan St Ne, 10th Floor, Mc 248, Grand Rapids, MI 49503 | 2013-02-25 |
| 1275882599 | Enrique Oliver Aregullin Eligio | Internal Medicine | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503 | 2012-08-31 |
| 1417266685 | Spectrum Health Primary Care Partners | Internal Medicine | 2902 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2010-10-05 |
| 1043411721 | Christopher Ratnasamy | Internal Medicine | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2007-05-30 |
| 1174504021 | West Michigan Heart | Internal Medicine | 2900 Bradford St Ne, Grand Rapids, MI 49525-6427 | 2005-11-08 |
| 1275524720 | Grand River Cardiology, Plc | Internal Medicine | 1000 E Paris Ave Se, Ste 200, Grand Rapids, MI 49546-3691 | 2005-11-03 |
| 1053311779 | Yasser Al Khatib | Internal Medicine | 25 Michigan St Ne, Suite 4300, Grand Rapids, MI 49503 | 2005-07-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on ADVANCED CARDIAC & VASCULAR CENTERS FOR AMPUTATION PREVENTION PLC.
| 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.