Oktavijan P Minanov (NPI# 1306802095, PAC ID# 8628106945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1306802095 |
| PAC ID by PECOS | 8628106945 |
| Professional Enrollment ID | I20100610000464 |
| Full Name | Oktavijan P Minanov |
| Organization Legal Name | CARDIAC SURGERY INSTITUTE PC |
| Address |
22201 Moross Rd Suite 380 Detroit MI 48236-2176 |
| Phone Number | 5864939229 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | GENERAL SURGERY, THORACIC SURGERY |
| Group Practice PAC ID | 2668458621 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230227 | MCLAREN MACOMB |
| Address | Phone | Organization |
|---|---|---|
| 22201 Moross Rd, Suite 380, Detroit, MI 48236-2176 | 5864939229 | CARDIAC SURGERY INSTITUTE PC |
| 1521 Gull Rd, Kalamazoo, MI 49048-1640 | 2692267000 | CARDIAC SURGERY INSTITUTE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 4% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| QCDR_EC_STS7_overall | Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery | 64% |
| Organization Legal Name | CARDIAC SURGERY INSTITUTE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristijan G Minanov | Cardiac Surgery | Cardiac Surgery Institute PC | 1030 Harrington St, Suite 203, Mount Clemens, MI 48043-2967 |
| Gary R Goodman | Thoracic Surgery | Cardiac Surgery Institute PC | 1030 Harrington St, Suite 203, Mount Clemens, MI 48043-2967 |
| Street Address |
22201 MOROSS RD SUITE 380 |
| City | DETROIT |
| State | MI |
| Zip | 48236-2176 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrey A Volkov | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Leon A Hochman | Obstetrics/gynecology | Ascension Medical Group Michigan | 22201 Moross Rd, Suite 252, Detroit, MI 48236-2175 |
| Sanjay Batra | Cardiac Surgery | Ascension Medical Group Michigan | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Fouad M Azoury | Thoracic Surgery | Ascension Medical Group Michigan | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Christy A Petroff | Pediatric Medicine | Ascension St John Hospital | 22201 Moross Rd, Suite 270, Grosse Pointe, MI 48236-2175 |
| Devon A Hoover | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Henry G Bone Iii | Internal Medicine | 22201 Moross Rd, Suite 260, Detroit, MI 48236-2175 | |
| Benjamin J Best | Orthopedic Surgery | Ascension Medical Group Michigan | 22201 Moross Rd, Suite 214, Detroit, MI 48236-2169 |
| Alan M Afsari | Orthopedic Surgery | Ascension Medical Group Michigan | 22201 Moross Rd, Suite 214, Detroit, MI 48236-2169 |
| Omar Habib | Cardiovascular Disease (cardiology) | Ascension Medical Group Michigan | 22201 Moross Rd, Suite 252, Detroit, MI 48236-2175 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharon Joanne English-mcmellon | Qualified Audiologist | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 | |
| Kelly A Zilli | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Lindsay Leigh Smith | Audiologist | Ear Center Inc | 21142 Mack Ave, Grosse Pointe Woods, MI 48236-1044 |
| Dennis C Packey | Internal Medicine | 20867 Mack Ave, Suite 3, Grosse Pointe Wd, MI 48236-1356 | |
| Stephenie M Lucas | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Jennifer Kulinski | Nurse Practitioner | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Carlo E Adams | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Theresa M Oney | Physical Medicine and Rehabilitation | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 | |
| Noemi Pac Villanueva | Physician Assistant | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Logan A Oney | Internal Medicine | Center for Preventive Medicine PC | 20870 Mack Ave, Grosse Pointe, MI 48236-1388 |
| Find all physicians in zip 48236 | |||
| City | DETROIT |
| Zip Code | 48236 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | DETROIT + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Oktavijan P Minanov.
| 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.