ILANA B KUTINSKY (NPI# 1821089087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821089087 |
| Entity Type | Individual |
| Full Name | ILANA B KUTINSKY |
| Credential | DO |
| Practice Address |
4600 Investment Dr Suite 200 Troy MI 48098-6365 |
| Practice Telephone | 2482675050 |
| Practice Fax Number | 2482675051 |
| Mailing Telephone | 2482675050 |
| Mailing Fax Number | 2482675051 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
35340 | CO | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
5101015554 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD OF MI | 0656308955 | 01 |
| MI | 4475763 | 05 | |
| MI | MEDICARE RAILROAD | 060070669 | 01 |
| Street Address |
4600 INVESTMENT DR SUITE 200 |
| City | TROY |
| State | MI |
| Zip Code | 48098-6365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454264 | Affiliated Troy Dermatologists, Pllc | Specialist | 4600 Investment Dr, Ste 260, Troy, MI 48098-6365 | 2005-08-11 |
| 1982243895 | Fadi Murad Anwar | Physical Therapist | 4600 Investment Dr, Troy, MI 48098-6365 | 2019-12-26 |
| 1558807057 | David Chasney | Physical Therapist | 4600 Investment Dr, Suite 190, Troy, MI 48098-6365 | 2017-01-09 |
| 1962850131 | Lisa Lynn Mccloy | Nurse Practitioner | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2016-05-29 |
| 1194195966 | Holly Vanderwerff | Physician Assistant | 4600 Investment Dr, Ste 300, Troy, MI 48098-6365 | 2015-10-05 |
| 1629473228 | Ryan Havens | Nurse Practitioner | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2014-10-27 |
| 1518367234 | Surgical Centers of Michigan, LLC | Anesthesiology | 4600 Investment Dr, Suite 270, Troy, MI 48098-6365 | 2014-08-29 |
| 1700150620 | Rochester Hills Orthopaedics PC | Orthopaedic Surgery | 4600 Investment Dr, Suite 120, Troy, MI 48098-6365 | 2012-02-24 |
| 1609160415 | Brian M. Renard | Internal Medicine | 4600 Investment Dr, Troy, MI 48098-6365 | 2011-06-09 |
| 1972804607 | Lakshmi Pharmacy Enterprises LLC | Pharmacist | 4600 Investment Dr, Suite 100, Troy, MI 48098-6365 | 2010-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053949289 | Douglas Ross | Physical Therapy Assistant | 4062 Livernois Rd, Troy, MI 48098 | 2020-04-01 |
| 1104382837 | Minxes Inc | Chiropractor | 1175 W. Long Lake Rd, Suite 100, Troy, MI 48098 | 2019-02-19 |
| 1689160053 | Nyssa J Swanson | Physical Therapist | 5440 Corporate Dr Ste 400, Troy, MI 48098 | 2018-07-09 |
| 1447742580 | Rebecca Jane Stros | Counselor | 900 Tower Dr, Troy, MI 48098 | 2018-06-05 |
| 1356863278 | Brigette Johnson | Occupational Therapist | 4794 Riverchase Dr, Troy, MI 48098 | 2017-07-12 |
| 1912448382 | Devyn Depeter | Technician/Technologist | 5877 Livernois Rd Ste 104, Troy, MI 48098 | 2017-03-17 |
| 1285025015 | Rochester Knee & Sports Medicine PC | Durable Medical Equipment & Medical Supplies | 4600 Investment Dr Ste 120, Troy, MI 48098 | 2015-02-16 |
| 1649690231 | Tammy Beesley-schick | Registered Nurse | 4568 Odette Ct, Troy, MI 48098 | 2014-04-22 |
| 1306269584 | Medi-care | Ambulance | 5741 Faircastle, Troy, MI 48098 | 2014-01-24 |
| 1881953644 | Diane Marie Bald | Social Worker | 1707 White Birch Ct, Troy, MI 48098 | 2012-05-14 |
| Find all providers in zip 48098 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1033172945 | Michigan Heart Group PC | Internal Medicine | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2006-04-11 |
| 1255313268 | Brian D Williamson | Internal Medicine | 4600 Investment Dr, Suite 200, Troy, MI 48098-6365 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788367 | Tsz Kin Tam | Internal Medicine | 1500 E Medical Center Dr Spc 5869, Ann Arbor, MI 48109-5869 | 2020-07-29 |
| 1861804023 | Ashish Gangasani Md Pllc | Internal Medicine | 6881 Brook Hollow Ct, West Bloomfield, MI 48322-5208 | 2014-05-22 |
| 1245675792 | West Michigan Heart | Internal Medicine | 705 Oak St Unit 1, Big Rapids, MI 49307-3109 | 2013-05-09 |
| 1093941395 | Firas Zahwe | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2009-06-02 |
| 1215145420 | Hossam Eldin Imam Mustafa | Internal Medicine | 900 Cooper Ave Ste 4100, Saginaw, MI 48602 | 2007-05-19 |
| 1063588382 | Arrhythmia Center of Southwest Michigan | Internal Medicine | 7901 12th Street, Suite 201, Portage, MI 49024 | 2006-11-28 |
| 1609838804 | Francis A Grubelich | Internal Medicine | 7901 12th St, Ste 201, Portage, MI 49024 | 2006-04-04 |
| 1639725252 | Yuet Wong Cheng | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2019-08-11 |
| 1629537147 | Michigan Heart Rhythm Center Pllc | Internal Medicine | 4900 Mercury Dr Ste 202, Dearborn, MI 48126-2947 | 2019-03-14 |
| 1679030530 | Heart and Vascular Institute | Internal Medicine | 22720 Michigan Ave Ste 200, Dearborn, MI 48124-2021 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
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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.