PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC (NPI# 1467731117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467731117 |
| Entity Type | Organization |
| Organization Name | PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC |
| Practice Address |
770 Riverside Ave Suite 106 Adrian MI 49221-1476 |
| Practice Telephone | 5172660525 |
| Practice Fax Number | 5172660956 |
| Mailing Telephone | 5172660525 |
| Mailing Fax Number | 5172660956 |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |
| Authorized Official Name | AMY L BAHNSEN (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 4198247334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730460684 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2751 Bay Park Dr, Suite 305, Oregon, OH 43616-4921 | 2011-09-06 |
| 1649559394 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2940 N Mccord Rd, Toledo, OH 43615-1753 | 2011-08-12 |
| 1285913939 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1037 Conneaut Ave, Suite 202, Bowling Green, OH 43402-5301 | 2011-08-12 |
| 1902185655 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 715 S Taft Ave, Suite 195, Fremont, OH 43420-3200 | 2011-08-12 |
| 1366721011 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 730 N Macomb St, Suite 429, Monroe, MI 48162-2900 | 2011-08-12 |
| 1720367477 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 2702 Navarre Ave, Suite 310, Oregon, OH 43616-3223 | 2011-08-12 |
| 1639458383 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 615 Fulton St, Port Clinton, OH 43452-2001 | 2011-08-12 |
| 1548549298 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 500 E Pottawatamie St, Tecumseh, MI 49286-2018 | 2011-08-12 |
| 1457630105 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 734 S Shoop Ave, Suite B, Wauseon, OH 43567-1707 | 2011-08-12 |
| 1811276561 | Promedica Northwest Ohio Cardiology Consultants, LLC | Internal Medicine | 1600 E Riverview Ave, Napoleon, OH 43545-9805 | 2011-08-12 |
| Street Address |
770 RIVERSIDE AVE SUITE 106 |
| City | ADRIAN |
| State | MI |
| Zip Code | 49221-1476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758650 | Asuncion Q Luz | Pediatrics | 770 Riverside Ave, Suite 17, Adrian, MI 49221-1476 | 2005-05-23 |
| 1639699408 | Christopher Donald Valkier | Podiatrist | 770 Riverside Ave, Adrian, MI 49221-1476 | 2017-06-22 |
| 1043690753 | Lisa Schultz | Counselor | 770 Riverside Ave, 11, Adrian, MI 49221-1476 | 2015-06-08 |
| 1710395439 | Tracy Salazar | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1445 | 2014-07-25 |
| 1780091751 | Joyce Faulhaber | Counselor | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2014-07-22 |
| 1194132449 | Gerald Nelson Mccullough | Counselor | 770 Riverside Ave, Ste 11, Adrian, MI 49221-1476 | 2014-07-18 |
| 1417391673 | Grady Elam | Social Worker | 770 Riverside Ave, Suite 11, Adrian, MI 49221-1476 | 2013-04-18 |
| 1609011311 | Scott R. Smith Dds.,pc | Dentist | 770 Riverside Ave, Suite #201, Adrian, MI 49221-1476 | 2008-12-09 |
| 1467630616 | Southeastern Orthopedics PC | Orthopaedic Surgery | 770 Riverside Ave, Ste 105, Adrian, MI 49221-1476 | 2008-02-08 |
| 1487862389 | Chad Burtless-creps | Dentist | 770 Riverside Ave, Suite #200, Adrian, MI 49221-1476 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285116723 | Sandra Ann Harsh | Occupational Therapist | Total Rehab, 1136 Country Club, Adrian, MI 49221 | 2018-08-31 |
| 1588156178 | Chelsea Varney | Social Worker | 1040 Winter Street, Adrian, MI 49221 | 2018-05-31 |
| 1669974127 | Nicoletta Mary Bruno | Physical Therapy Assistant | 700 Lakeshire Trail, Adrian, MI 49221 | 2018-03-01 |
| 1871011403 | Evan Splan | Pharmacist | 1200 South Main St Suite A, Adrian, MI 49221 | 2017-09-04 |
| 1780104992 | Daniel Malcolm | Specialist/Technologist | 1325 Williams St., Adrian, MI 49221 | 2017-06-20 |
| 1639602881 | Robert Gargol | Pharmacist | 1535 W Maumee, Adrian, MI 49221 | 2017-04-05 |
| 1487196416 | Painless Dentistry V | Dentist | 160 N. Winter St., Adrian, MI 49221 | 2016-11-08 |
| 1487025227 | Michelle Lynn Ranta | Speech-Language Pathologist | 730 Kimole Ln., Adrian, MI 49221 | 2015-10-19 |
| 1376929109 | James Hamblin | Technician, Other | 1100 South Main St. Lot 139, Adrian, MI 49221 | 2015-08-04 |
| 1316320039 | Shirley Goodlock | Community/Behavioral Health | 3091 E. Carleton Rd, Adrian, MI 49221 | 2015-06-30 |
| Find all providers in zip 49221 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757579 | Jeffrey B Mcclure | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2005-06-02 |
| 1588791925 | Promedica Corporation of Michigan | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2007-02-27 |
| 1881696524 | Henry R Silverman IIi | Internal Medicine | 818 Riverside Ave, 5th Floor Cardiology, Adrian, MI 49221-1446 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154458 | Spectrum Health Primary Care Partners | Internal Medicine | 749 Phillips St, South Haven, MI 49090-1842 | 2020-11-05 |
| 1902413891 | Atria Vascular & Vein, Pllc | Internal Medicine | 32255 Northwestern Hwy Ste 115a, Farmington Hills, MI 48334-1566 | 2020-09-25 |
| 1538785415 | Lakes Cardiology PC | Internal Medicine | 9640 Commerce Rd Ste 106, Commerce Twp, MI 48382-4167 | 2020-06-17 |
| 1811468895 | Telemedico Physicians of Michigan | Internal Medicine | 24359 Northwestern Hwy Ste 200, Southfield, MI 48075-2597 | 2018-12-17 |
| 1639644305 | Metropolitan Cardiovascular | Internal Medicine | 28667 Bayberry Ct E, Livonia, MI 48154-3869 | 2018-10-09 |
| 1194202234 | Mvp Endovascular Center Pllc | Internal Medicine | 22720 Michigan Ave Ste 300, Dearborn, MI 48124-2035 | 2018-07-22 |
| 1366992059 | Renew Research LLC | Internal Medicine | 26800 Haggerty Rd, Farmington Hills, MI 48331-5715 | 2016-10-06 |
| 1972051530 | Michael Abdul-malek Do Pllc | Internal Medicine | 1380 Coolidge Hwy Ste 250, Troy, MI 48084-7067 | 2016-09-13 |
| 1205389384 | Elite Medical Enterprises, Inc. | Internal Medicine | 7750 Schaefer Rd Ste 202, Dearborn, MI 48126-1159 | 2016-07-26 |
| 1265803316 | Alpine Cardiology, Pllc | Internal Medicine | 101 E Mitchell St, Gaylord, MI 49735-1460 | 2015-10-15 |
| Find all providers with the same taxonomy | ||||
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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.