HEART AND VASCULAR INSTITUTE (NPI# 1679030530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679030530 |
| Entity Type | Organization |
| Organization Name | HEART AND VASCULAR INSTITUTE |
| Practice Address |
22720 Michigan Ave Ste 200 Dearborn MI 48124-2021 |
| Practice Telephone | 3137913000 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | HANADY BEYDOUN (OFFICE MANAGER) |
| Authorized Official Telephone | 3139937777 |
| Is Organization Subpart | Y |
| Parent Organization Name | HALO MEDICAL GROUP PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12091363 | 01 | |
| CAQH | 12345659 | 01 | |
| MI | 1417010315 | 05 | |
| MI | 1932149838 | 05 | |
| CAQH | 14396095 | 01 | |
| MI | 1912263914 | 05 | |
| CAQH | 11615581 | 01 | |
| MI | 1326291428 | 05 | |
| MI | 1881916435 | 05 | |
| CAQH | 11892261 | 01 | |
| CAQH | 12063174 | 01 | |
| CAQH | 12440670 | 01 | |
| MI | 1457687584 | 05 | |
| CAQH | 12151256 | 01 | |
| CAQH | 12248863 | 01 | |
| MI | 1043473382 | 05 | |
| MI | 1962427260 | 05 | |
| MI | 1144341645 | 05 | |
| CAQH | 12718965 | 01 | |
| MI | 1831154798 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20240 W 12 Mile Rd, Southfield, MI 480762426 | 2484245000 | |
| 4160 John R St Ste 510, Detroit, MI 482012021 | 3139937777 |
| Street Address |
22720 MICHIGAN AVE STE 200 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-2021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568773158 | Team Cares | Health Maintenance Organization | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2010-06-29 |
| 1417597279 | Lena Mathena | Nurse Practitioner | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2020-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 1639640162 | Jernia Lashawn Usher | Behavior Technician | 1360 Porter St Lower Level, Dearborn, MI 48124 | 2018-12-10 |
| 1710456470 | Samar Fouad Hannawi | Psychologist | 3815 Pelham Street, Suite #13, Dearborn, MI 48124 | 2018-11-24 |
| 1881178747 | Sarah Chehab | Psychologist | 835 Mason St Suite 220b, Dearborn, MI 48124 | 2018-09-17 |
| 1568948289 | Ibrahim M Basma | Pharmacist | 22521 Michigan Avenue, Dearborn, MI 48124 | 2018-07-16 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| 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 |
|---|---|---|---|---|
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1568889376 | Ma Sobh Do Plc | Internal Medicine | 904 Mason St, Dearborn, MI 48124-2215 | 2014-03-19 |
| 1306969076 | Heart and Vascular Physicians Plc | Internal Medicine | 4953 Schaefer Rd Ste 2, Dearborn, MI 48126-3259 | 2007-04-09 |
| 1427084805 | George Toufic Nahhas | Internal Medicine | 2881 Monroe St, Suite 100, Dearborn, MI 48124-2847 | 2006-06-25 |
| 1700856747 | Subhash C. Sabharwal | Internal Medicine | 22060 Beech St 200, Dearborn, MI 48124-2853 | 2006-01-24 |
| 1225039563 | Sohail Akhtar Hassan | Internal Medicine | 22060 Beech St Ste 200, Dearborn, MI 48124-2853 | 2005-08-09 |
| 1720440068 | Sara Khodor | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124 | 2016-03-25 |
| 1023413945 | Mancini Consulting L.L.C. | Internal Medicine | 2881 Monroe St, Dearborn, MI 48124-3475 | 2014-11-04 |
| 1447698311 | Brian Robert Albertson | Internal Medicine | 18101 Oakwood Blvd, Dearborn, MI 48124-4089 | 2013-06-12 |
| Find all providers in DEARBORN | ||||
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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.