MICHIGAN HEART LUNG AND VEIN SURGERY (NPI# 1871982249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871982249 |
| Entity Type | Organization |
| Organization Name | MICHIGAN HEART LUNG AND VEIN SURGERY |
| Practice Address |
2757 Leonard Ne Ste 200 Grand Rapids MI 49525-5807 |
| Mailing Address |
Po Box 3140 Grand Rapids MI 49501-3140 |
| Practice Telephone | 6169542020 |
| Practice Fax Number | 6169490408 |
| Mailing Telephone | 6169542020 |
| Mailing Fax Number | 6169490408 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | DANIEL RICHARD MELDRUM (OWNER) |
| Authorized Official Telephone | 6169204282 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4301102234 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
2757 LEONARD NE STE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-5807 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679815898 | Hanna Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503 | 2013-03-26 |
| 1003060468 | Luis Alberto Tomatis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Campau Cir Nw, Grand Rapids, MI 49503-2657 | 2008-11-12 |
| 1194796748 | Phillip Cabot Camp Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne Ste 8830, Grand Rapids, MI 49503-2560 | 2006-01-31 |
| 1336504760 | Grand Rapids Thoracic Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4500 Cascade Rd Se, Suite 210, Grand Rapids, MI 49546-3665 | 2015-12-30 |
| 1215311220 | Giedrius Baliulis | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne, 10th Floor, Mc 248, Grand Rapids, MI 49503-2560 | 2015-07-20 |
| 1366859985 | Stephane Leung Wai Sang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2014-07-15 |
| 1871933960 | Pulkesh Bhatia | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne Ste 8830, Grand Rapids, MI 49503-2560 | 2013-07-03 |
| 1154621605 | Spectrum Health Hospitals | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2010-11-01 |
| 1700908522 | Justin Shayne Fanning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2007-04-04 |
| 1700914348 | David Jason Spurlock | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne, Suite 8830, Grand Rapids, MI 49503-2560 | 2007-03-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on MICHIGAN HEART LUNG AND VEIN SURGERY.
| 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.