SUBHASH THAKUR (NPI# 1770770216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770770216 |
Entity Type | Individual |
Full Name | SUBHASH THAKUR |
Credential | MD |
Practice Address |
215 E Mansion St Suite 2f Marshall MI 49068-1559 |
Practice Telephone | 2697898272 |
Practice Fax Number | 2697898273 |
Mailing Telephone | 2697898272 |
Mailing Fax Number | 2697898273 |
Enumeration Date | 2007-09-28 |
Last Update Date | 2014-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301095728 | MI | Allopathic & Osteopathic Physicians |
N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35-088741 | OH | Allopathic & Osteopathic Physicians |
Street Address |
215 E MANSION ST SUITE 2F |
City | MARSHALL |
State | MI |
Zip Code | 49068-1559 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609856046 | Suzanne E Vandenbrink-webb | Obstetrics & Gynecology | 215 E Mansion St, Suite 3d, Marshall, MI 49068-1559 | 2006-01-20 |
1841740289 | Sundos Fadel | Physician Assistant | 215 E Mansion St, Marshall, MI 49068-1559 | 2016-10-10 |
1346624921 | Karissa Hawley | Advanced Practice Midwife | 215 E Mansion St, Suite 3d, Marshall, MI 49068-1559 | 2015-07-14 |
1801297940 | Michael Thompson | Audiologist | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2014-09-09 |
1598102824 | Desiree Cook | Physician Assistant | 215 E Mansion St, Suite 1g, Marshall, MI 49068-1559 | 2013-05-28 |
1164733887 | Catherine A Burtrum | Surgery | 215 E Mansion St, Suite 3e, Marshall, MI 49068-1559 | 2010-06-28 |
1952537912 | South Central Ear Nose and Throat Associates PC | Otolaryngology | 215 E Mansion St, Suite 2d, Marshall, MI 49068-1559 | 2009-06-04 |
1396931937 | Vincent Shen Md Plc | Internal Medicine | 215 E Mansion St, Suite 2e, Marshall, MI 49068-1559 | 2007-09-18 |
1356479810 | Jonathan Michael Ross | Internal Medicine | 215 E Mansion St, Suite 3a, Marshall, MI 49068-1559 | 2007-02-28 |
1881751261 | Vincent Shen | Internal Medicine | 215 E Mansion St, Suite 2b, Marshall, MI 49068-1559 | 2007-01-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003413774 | Mikeayla Pellegrino | Speech-Language Pathologist | 103 E Mansion St Ricketson Building, Marshall, MI 49068 | 2020-10-06 |
1306499108 | Kari Ann Scarbrough | Nurse Practitioner | 200 N Madison, Marshall, MI 49068 | 2019-07-20 |
1164994976 | Emily Thrower | Advanced Practice Midwife | 215 E. Mansion Street, Suite 3d, Marshall, MI 49068 | 2018-12-19 |
1205359106 | Alexandrea Jade Garbus | Advanced Practice Midwife | 215 E Mansion St Ste 3d, Marshall, MI 49068 | 2017-07-23 |
1861948671 | Jaina Schank | Occupational Therapist | 879 E Michigan Avenue, Medilodge of Marshall, Marshall, MI 49068 | 2016-08-31 |
1609234426 | Maria Miller | Dental Hygienist | 111 N. Jefferson St, Suite 1, Marshall, MI 49068 | 2016-02-08 |
1235594342 | Shelly Wisz | Nurse Practitioner | 720 Old Us 27 North, Marshall, MI 49068 | 2015-12-17 |
1225447659 | Charles Middleton | Physical Therapist | 823 W Michigan Ave, Marshall, MI 49068 | 2014-08-11 |
1952662538 | Angela Louise Robin | Podiatrist | 1600 S Kalamazoo Ave, Marshall, MI 49068 | 2012-05-31 |
1245598606 | Ziad Kanaan | Internal Medicine | 215 E Mansion St Ste 3a, Marshall, MI 49068 | 2012-04-24 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437660057 | Iha Health Services Corporation | Surgery | 5333 Mcauley Dr Rm 4016, Ypsilanti, MI 48197-1001 | 2017-10-23 |
1760900138 | Integrated Vascular Vein Center of Michigan PC | Surgery | 600 Health Park Blvd Ste G, Grand Blanc, MI 48439-2558 | 2017-09-06 |
1770036147 | Joseph P. Elliott Jr. | Surgery | 3282 Woodview Lake Rd, West Bloomfield, MI 48323-3570 | 2016-08-02 |
1043676661 | Integrative Cardiovascular Health & Wellness | Surgery | 3250 Woods Way, Suite 9, Petoskey, MI 49770-7628 | 2016-01-12 |
1124411244 | Vascular Surgery Assoc, PC | Surgery | 1122 S Lapeer Rd Ste C, Lapeer, MI 48446-3387 | 2015-03-13 |
1013309988 | Bloomfield Vein & Vascular Pllc | Surgery | 43700 Woodward Ave Ste 207, Bloomfield Hills, MI 48302-5061 | 2015-03-02 |
1114288206 | Scott Bendix | Surgery | 28100 Grand River Ave Ste 200, Farmington Hills, MI 48336-5969 | 2012-06-05 |
1942561428 | Charles J Shanley Md PC | Surgery | 1001 Audubon Rd, Grosse Pointe, MI 48230-1406 | 2012-05-31 |
1508122995 | Robert J Cardwell Md Pllc | Surgery | 13312 Terry Dr, Shelby Township, MI 48315-5365 | 2012-04-10 |
1780919936 | Martin A V Tuma Md Vascular Surgery Pllc | Surgery | 22255 Greemfield Road #250, Southfield, MI 48075 | 2009-10-06 |
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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.