MARC VANDER VLIET


Address: 2799 W. Grand Blvd, Clara Ford Pavilion--4th Floor, Detroit, MI 48202
Phone: 3139164098

MARC VANDER VLIET (NPI# 1790171304) 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) 1790171304
Entity Type Individual
Full Name MARC VANDER VLIET
Credential M.D.
Practice Address 2799 W. Grand Blvd
Clara Ford Pavilion--4th Floor
Detroit
MI 48202
Mailing Address 2799 W Grand Blvd
Clara Ford Pavilion--4th Floor
Detroit
MI 48202
Practice Telephone 3139164098
Practice Fax Number 3139161925
Mailing Telephone 3139164098
Mailing Fax Number 3139161925
Enumeration Date 2015-04-09
Last Update Date 2019-05-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
4301500291 MI Allopathic & Osteopathic Physicians

Office Location

Street Address 2799 W. GRAND BLVD
CLARA FORD PAVILION--4TH FLOOR
City DETROIT
State MI
Zip Code 48202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659449395 Matthew C. Rheinboldt Radiology 2799 W. Grand Blvd, Henry Ford Dept of Radiology, Detroit, MI 48202-2689 2006-12-01
1023514106 Fabien Meta Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd, Detroit, MI 48202-9888 2018-04-05
1750810016 Tania Multani Kohal Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd, Detroit, MI 48202 2017-06-08
1972058089 Stanley Linder Internal Medicine 2799 W. Grand Blvd, Cfp-5 Department of Nephrology, Detroit, MI 48202 2016-08-18
1831553528 Ibrahim Sablaban Pharmacist 2799 W. Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 2016-04-08
1013371129 Anjali Thakrar Psychiatry & Neurology 2799 W. Grand Blvd, Detroit, MI 48202 2016-04-06
1730576679 Himabindu Gandam Venkata Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 2015-04-17
1730507930 Kavit Shah Psychiatry & Neurology 2799 W. Grand Blvd, Detroit, MI 48202 2014-04-03
1023435211 Hardeep Chahil Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd, Henry Ford Hospital, Detroit, MI 48202 2014-03-25
1568761021 Lara Natalie Zador Anesthesiology 2799 W. Grand Blvd, Henry Ford Health System, Department of Anesthesiology, Detroit, MI 48202 2011-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710584602 Andrea Irene Martin Audiologist 2799 E Grand Blvd, Detroit, MI 48202 2020-10-05
1174132583 Odei Alayyas Student in an Organized Health Care Education/Training Program 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 2020-07-31
1912529801 Aroob Nabil Nimer Sweidan Student in an Organized Health Care Education/Training Program 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 2020-05-13
1306485636 Katie Burlen-davis Registered Nurse 9045 Woodward Ave, Detroit, MI 48202 2020-01-03
1407401250 Santhalakshmi Angappan Student in an Organized Health Care Education/Training Program Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 2019-08-08
1851945687 Walter Mitini Etoh Nurse Practitioner Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 2019-07-30
1467913756 Andrew Michael Schock Emergency Medicine Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 2019-03-28
1700363892 Zaid Al-saheli Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 2018-07-23
1932690096 Yusuf Naser Alalwan Student in an Organized Health Care Education/Training Program 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 2018-05-24
1568952729 Kelvin Sellers Massage Therapist 832 Seward, Detriot, MI 48202 2018-05-14
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Taxonomy Information

Taxonomy Code 207RH0002X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hospice and Palliative Medicine

Taxonomy Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386060226 Barbara Ann Karmanos Cancer Institute Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2014-03-17
1841533031 Elisheva Newman Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2013-04-05
1275743700 Gilbert Dagher Abou Dagher Internal Medicine 2799 W Grand Blvd, Henry Ford Hospital, Detroit, MI 48202-2608 2007-05-23
1821212606 Ltach Specialist PC Internal Medicine 6071 W Outer Dr, Detroit, MI 48235-2624 2007-04-12
1538228879 Leslie J. Bricker Internal Medicine Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 2006-12-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053912592 Hospice Advantage, LLC Internal Medicine 801 S Waverly Rd Ste 200, Lansing, MI 48917-4200 2020-11-02
1518573054 Thi of Michigan At Detroit, LLC Internal Medicine 30665 Northwestern Hwy Ste 150, Farmington Hills, MI 48334-3146 2020-09-21
1639496466 Palliative Care Medical Associates Internal Medicine 430 Union Ave Ne Apt 209, Grand Rapids, MI 49503-5747 2010-05-04
1578771770 Helen Scoblic Internal Medicine 1426 Straits Dr, Bay City, MI 48706-8705 2007-05-19
1255439915 Saeed I Bajwa Internal Medicine 5301 Mcauley Dr Ste 2119, Ypsilanti, MI 48197-1051 2006-09-20
1831186311 Hospice At Home, Inc. Internal Medicine 4025 Health Park Lane, Saint Joseph, MI 49085 2005-09-30
1144878745 Ascension St. Mary's Hospital Internal Medicine 4599 Towne Centre Rd, Saginaw, MI 48604-2804 2019-08-28
1033638077 Northstar Palliative Care Inc Internal Medicine 2366 Oak Valley Dr, Ann Arbor, MI 48103-8944 2017-09-11
1457890618 Tamber Townsend Internal Medicine 18211 W 12 Mile Rd, Lathrup Village, MI 48076-2641 2017-02-20
1568900512 Iha Health Services Corporation Internal Medicine 5301 Mcauley Dr, Suite 2199, Ypsilanti, MI 48197-1051 2017-02-09
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Competitor

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City DETROIT
Zip Code 48202

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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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