ADVANCED CARDIOVASCULAR CLINIC PC (NPI# 1912549056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912549056 |
| Entity Type | Organization |
| Organization Name | ADVANCED CARDIOVASCULAR CLINIC PC |
| Practice Address |
6122 W Pierson Rd Unit 1 Flushing MI 48433-3104 |
| Practice Telephone | 8106003399 |
| Practice Fax Number | 8106003398 |
| Mailing Telephone | 8106003399 |
| Mailing Fax Number | 8106003398 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MOHAMMAD LUAY ALKOTOB (OWNER/ PRESIDENT) |
| Authorized Official Telephone | 8106003399 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED CARDIOVASCULAR CLINIC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0404X |
Clinic/Center Specialization: Rehabilitation, Cardiac Facilities |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Advanced Cardiovascular Clinic, PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104067487 | Advanced Cardiovascular Clinic PC | Clinic/Center | 6122 W Pierson Rd, Unit 1, Flushing, MI 48433-3104 | 2009-03-16 |
| Street Address |
6122 W PIERSON RD UNIT 1 |
| City | FLUSHING |
| State | MI |
| Zip Code | 48433-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679104186 | Annabelle Villarreal Slotka | Nurse Practitioner | 6122 W Pierson Rd Unit 1, Flushing, MI 48433-3104 | 2020-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558611467 | Summer A Bates | Nurse Practitioner | 1459 S. Center Rd, Burton, MI 48433 | 2012-09-18 |
| 1982965083 | David Shorez | Dentist | 6221 W. Pierson Rd, Flushing, MI 48433 | 2012-06-05 |
| 1740540434 | Jennifer Marie Shorez | Dentist | 6221 W. Pierson Rd., Flushing, MI 48433 | 2012-05-29 |
| 1174826069 | Jon L. Schriner, D.o PC | Respite Care | G-6045 West Pierson Rd, Flushing, MI 48433 | 2010-12-15 |
| 1154503993 | Ruelan Back and Neck Care Center Pllc | Chiropractor | G-6390 W Pierson Rd, Flushing, MI 48433 | 2007-12-04 |
| 1023130937 | Kimberly Christine Blakeslee | Dentist | 6221 W Pierson Road, Flushing, MI 48433 | 2007-04-04 |
| 1679636088 | Flushing Optical Inc | Optometrist | 105 S. Cherry Street, Flushing, MI 48433 | 2006-12-18 |
| 1245304161 | William Michael Trosko | Counselor | 1434 Flushing Road, Flushing, MI 48433 | 2006-11-20 |
| 1740211820 | Natalya A Brezden Dds Pllc | Dentist | G-6221 W Pierson Rd, Flushing, MI 48433 | 2006-07-06 |
| 1487621892 | Pharma Care Inc | Clinical Medical Laboratory | 209 S Cherry St, Flushing, MI 48433 | 2006-03-03 |
| Find all providers in zip 48433 | ||||
| Taxonomy Code | 261QR0404X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Cardiac Facilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351009 | Advanced Cardiology Associates, PC | Clinic/Center | 645 Barclay Cir, Rochester Hills, MI 48307-5804 | 2019-11-25 |
| 1548731672 | Metropolitan Hospital | Clinic/Center | 2122 Health Dr Sw Ste 133, Wyoming, MI 49519-9698 | 2018-12-16 |
| 1457834657 | Saint Joseph Mercy Livingston Hospital | Clinic/Center | 620 Byron Rd, Howell, MI 48843-1002 | 2018-09-13 |
| 1902359094 | St Joseph Mercy Hospital | Clinic/Center | 5325 Elliott Dr, Sutie 105, Ypsilanti, MI 48197-8633 | 2016-07-26 |
| 1205965340 | Cardio Pulmonary Rehabilitation of Clinton Twp, Pllc | Clinic/Center | 15930 19 Mile Rd, Clinton Township, MI 48038-1155 | 2007-03-05 |
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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.