Gary R Goodman (NPI# 1982669024, PAC ID# 0345226395) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1982669024 |
| PAC ID by PECOS | 0345226395 |
| Professional Enrollment ID | I20040629000991 |
| Full Name | Gary R Goodman |
| Organization Legal Name | CARDIAC SURGERY INSTITUTE PC |
| Address |
1030 Harrington St Suite 203 Mount Clemens MI 48043-2967 |
| Phone Number | 5864939229 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 2668458621 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | 3133434000 | CARDIAC SURGERY INSTITUTE PC |
| 6071 W Outer Dr, Dmc Siani Grace Hospital, Detroit, MI 48235-2624 | 3139663300 | CARDIAC SURGERY INSTITUTE PC |
| 1030 Harrington St, Suite 203, Mount Clemens, MI 48043-2967 | 5864939229 | CARDIAC SURGERY INSTITUTE PC |
| 22250 Providence Dr, Suite 606, Southfield, MI 48075-6214 | 2484431281 | CARDIAC SURGERY INSTITUTE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 2% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 5% | |
| QCDR_EC_STS7_overall | Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery | 3% |
| Organization Legal Name | CARDIAC SURGERY INSTITUTE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Oktavijan P Minanov | Cardiovascular Disease (cardiology) | Cardiac Surgery Institute PC | 22201 Moross Rd, Suite 380, Detroit, MI 48236-2176 |
| Kristijan G Minanov | Cardiac Surgery | Cardiac Surgery Institute PC | 1030 Harrington St, Suite 203, Mount Clemens, MI 48043-2967 |
| Street Address |
1030 HARRINGTON ST SUITE 203 |
| City | MOUNT CLEMENS |
| State | MI |
| Zip | 48043-2967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric L Zimmerman | Neurology | Mclaren Macomb | 1030 Harrington St, Mount Clemens, MI 48043-2967 |
| Julie B Burnham | Neurology | 1030 Harrington St, Suite 205, Mount Clemens, MI 48043-2967 | |
| Brian M Litch | Interventional Cardiology | Mclaren Macomb | 1030 Harrington St, Suite 101, Mount Clemens, MI 48043-2967 |
| Kristijan G Minanov | Cardiac Surgery | Cardiac Surgery Institute PC | 1030 Harrington St, Suite 203, Mount Clemens, MI 48043-2967 |
| Carol M Fischer | Obstetrics/gynecology | 1030 Harrington St, Suite 201, Mount Clemens, MI 48043-2967 | |
| Pulin P Patel | Allergy/immunology | Allergy and Asthma Physicians of Commerce Township | 1030 Harrington St, Suite 301, Mount Clemens, MI 48043-2967 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John H Trask | Psychologist, Clinical | 650 E Big Beaver Rd A, Troy, MI 48043-1432 | |
| Laura L Kelahan | Physical Therapy | Advanced Health Alliance LLC | 395 N Groesbeck Hwy L, Health Point Physical Therapy, Mount Clemens, MI 48043-1561 |
| John Michael M Vasquez | Physical Therapy | Advanced Health Alliance LLC | 395 N Groesbeck Hwy L, Health Point Physical Therapy, Mount Clemens, MI 48043-1561 |
| Melinda K Ryde | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Hilary A Barrington | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Melvine Miller | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Meghan E Slater | Clinical Social Worker | Alternative Community Living Inc | 175 N Groesbeck Hwy, New Passages Behavioral Health and Rehabilitation, Mount Clemens, MI 48043-1562 |
| Baljit Singh | Nurse Practitioner | Henry Ford Macomb Hospital Corporation | 215 N Ave, Mount Clemens, MI 48043-1716 |
| Amy E Joseph | Physician Assistant | Top Cardiology Associates of Michigan Pllc | 215 N Ave, Mount Clemens, MI 48043-1716 |
| Arsenio V Deleon | Pulmonary Disease | 215 N Ave, Mount Clemens, MI 48043-1716 | |
| Find all physicians in zip 48043 | |||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
| Specialty | THORACIC SURGERY |
| City + Specialty | MOUNT CLEMENS + THORACIC SURGERY |
Please comment or provide details below to improve the information on Gary R Goodman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.