MELANIE SCHWIESOW (NPI# 1689091878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689091878 |
| Entity Type | Individual |
| Full Name | MELANIE SCHWIESOW |
| Practice Address |
311 Mack Ave Ste 64100 Detroit MI 48201 |
| Mailing Address |
311 Mack Ave Ste 64100 Detroit MI 48201-2466 |
| Practice Telephone | 3138320650 |
| Mailing Telephone | 3138320650 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301116852 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3916 Ranya Dr, Commerce Township, MI 483824472 | 2488927501 |
| Street Address |
311 MACK AVE STE 64100 |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548248354 | Kenton J Zehr | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2006-01-03 |
| 1336695923 | Dianna Grace Ehlert | Registered Nurse | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2016-09-01 |
| 1043612567 | Justin Thomas Marzean | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2014-09-17 |
| 1073914214 | Joshua Hoover | Nurse Practitioner | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2014-09-08 |
| 1104161686 | Edith Anne Chittenden | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-12-10 |
| 1396091328 | Dave B Cuvi | Physician Assistant | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-07-27 |
| 1306191853 | Zaher Hakim | Internal Medicine | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2012-07-20 |
| 1689828238 | M. Chadi Alraies | Internal Medicine | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2008-11-10 |
| 1437315660 | Joan Frances Benedetti | Nurse Practitioner | 311 Mack Ave Ste 64100, Detroit, MI 48201-6712 | 2008-08-07 |
| 1457458929 | Franco L Fazzalari | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201-2466 | 2006-09-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| 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 |
|---|---|---|---|---|
| 1437383197 | Barbara D'agnoluzzo Moreira | Surgery | 3663 Woodward Ave Ste 200, Wsu Detroit Medical Center, Detroit, MI 48201-2400 | 2009-05-11 |
| 1083822753 | Yevgeniy Rits | Surgery | 4160 John R #615, Harper Professional Bldg, Detroit, MI 48201-2065 | 2007-05-18 |
| 1740299858 | Paul J. Corcoran | Surgery | 2799 W Grand Blvd # K8, Detroit, MI 48202-2608 | 2006-08-07 |
| 1073992715 | Berg Vascular PC | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2015-05-27 |
| 1215343553 | Frederick John Jaecklein | Surgery | 4201 Saint Antoine St, 9cuhc, Detroit, MI 48201-2153 | 2014-07-08 |
| 1912347279 | Andi Peshkepija | Surgery | 2799 W Grand Blvd # K8, Detroit, MI 48202-2608 | 2013-07-01 |
| 1992915813 | Stavros Kakkos | Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-22 |
| 1518171420 | John W. Sealey, D.o., P.C. | Surgery | 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 | 2007-05-09 |
| 1801951637 | Hisham S Bassiouny | Surgery | 2799 W Grand Blvd, Detroit, MI 48202 | 2006-12-22 |
| 1114080744 | Alexander D. Shepard | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
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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.