NATHAN VANDJELOVIC


Address: 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153
Phone: 3137455147

NATHAN VANDJELOVIC (NPI# 1396086286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396086286
Entity Type Individual
Full Name NATHAN VANDJELOVIC
Practice Address 4201 Saint Antoine St # 9c
Detroit
MI 48201-2153
Mailing Address 875s Brys Dr
Grosse Pointe Woods
MI 48236-1209
Practice Telephone 3137455147
Practice Fax Number 3139660880
Mailing Telephone 8049292964
Enumeration Date 2013-03-03
Last Update Date 2015-12-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 5101020558 MI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4201 SAINT ANTOINE ST # 9C
City DETROIT
State MI
Zip Code 48201-2153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609499193 Fred Henry Daniel Charles Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-05-19
1215559059 Aws Polina Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-05-14
1922620954 Anika Pewlee Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-05-13
1639791916 Lawrence Tyng-hann Chen Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-05-10
1720600265 Alix Charles Jr. Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-05-07
1558982504 Amy Capone Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-04-30
1417578626 Alissa Anne Moody Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-04-28
1194346429 John-ezekiel Sengco Dayco Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-04-28
1720609001 Chibuzo Casey Ohanaja Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-04-28
1780205104 Niveta Aravind Student in an Organized Health Care Education/Training Program 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 2020-04-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
Find all providers in zip 48201

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013223239 Samba Siva Reddy Bathula Otolaryngology 4160 John R St Ste 1007, Dmc Ent-harper Professional Building, Detroit, MI 48201-2017 2010-08-25
1801109277 Syed Naweed Raza Otolaryngology 4100 John R Wertz Clinic, Karmanos Cancer Center, Detroit, MI 48201-2013 2010-07-14
1396783460 George H Yoo Otolaryngology 4100 John R Wertz Clinc, Detroit, MI 48201-2013 2006-06-02
1225088339 Salvatore Cavaliere Otolaryngology 6071 W Outer Drive 7/east, Select Speciality Hospital, Detroit, MI 48235-2624 2006-05-11
1215463823 Samantha Tam Otolaryngology 2799 W Grand Blvd, Detroit, MI 48202-2608 2017-05-03
1730621723 Michigan Sinus and Skull Institute Pllc Otolaryngology 4100 John R St, Wertz Cancer Clinic, Detroit, MI 48201-2013 2016-11-08
1750778890 Catherine Mae Kelso Geller Otolaryngology 4201 Saint Antoine St, 5e-uhc, Detroit, MI 48201-2153 2015-04-15
1679968390 Zaahir Turfe Otolaryngology 2799 W Grand Blvd, Henry Ford Hospital Graduate Medical Education, Cfp-046, Detroit, MI 48202-2608 2015-03-31
1386033272 Madana Jeevanandam Otolaryngology 4201 Saint Antoine St, Detroit, MI 48201-2153 2015-01-14
1386063824 Jonathan Waxman Otolaryngology 4201 Saint Antoine St, Uhc 5-e, Detroit, MI 48201-2153 2014-04-14
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City DETROIT
Zip Code 48201

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Dataset Information

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.

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