MOHAMMAD M KHAGHANY (NPI# 1790733129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790733129 |
| Entity Type | Individual |
| Full Name | MOHAMMAD M KHAGHANY |
| Credential | M.D. |
| Practice Address |
1722 Shaffer St Suite 2 Kalamazoo MI 49048-1633 |
| Practice Telephone | 2693431555 |
| Practice Fax Number | 2693433209 |
| Mailing Telephone | 2693431555 |
| Mailing Fax Number | 2693433209 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 039427 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4240560 | 05 | |
| MI | BLUE CROSS BLUE SHIELD | 03931791 | 01 |
| Street Address |
1722 SHAFFER ST SUITE 2 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49048-1633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194700104 | Anthony King | Internal Medicine | 1722 Shaffer St, Suite 1, Kalamazoo, MI 49048-1633 | 2005-12-13 |
| 1588916316 | Rebecca M Blades | Nurse Practitioner | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2012-10-03 |
| 1720355910 | Spectrum Health Primary Care Partners | Pediatrics | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2011-11-16 |
| 1275840969 | Gerard Joseph Gole | Physician Assistant | 1722 Shaffer St, Ste #1, Kalamazoo, MI 49048-1633 | 2010-09-02 |
| 1366769747 | Jessica Delois Williams | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2010-04-26 |
| 1215167838 | Deepthi Rao | Internal Medicine | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2009-07-16 |
| 1831334762 | Sandra Lynn Pratt | Nurse Practitioner | 1722 Shaffer St, Heart Failure Clinic At Borgess, Suite 3, Kalamazoo, MI 49048-1633 | 2008-12-05 |
| 1295995876 | Jamie B Simpson | Psychologist | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2008-06-17 |
| 1831398379 | Paulette Levy Thompson | Social Worker | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2007-07-14 |
| 1134322308 | Mauli Ashish Verma | Psychiatry & Neurology | 1722 Shaffer St, Suite 3, Kalamazoo, MI 49048-1633 | 2007-06-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214146 | Sally Leigh Weigandt | Technician, Other | 5438 Lucerne Ave, Kalamazoo, MI 49048 | 2017-06-08 |
| 1437606670 | Amanda Ezekiel | Advanced Practice Midwife | 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 | 2016-09-06 |
| 1700238987 | Brittany Bittenbender | Technician, Other | 5840 E Cork St, Kalamazoo, MI 49048 | 2016-07-12 |
| 1255747176 | Araena Payton | Early Intervention Provider Agency | 1313 Hotop Ave, Kalamazoo, MI 49048 | 2014-07-11 |
| 1508297151 | Hope Network Eastwood House | Residential Treatment Facility, Physical Disabilities | 2236 Brook Drive, Kalamazoo, MI 49048 | 2013-12-09 |
| 1457780314 | Hope Network Rehabilitation Servicesq | Residential Treatment Facility, Physical Disabilities | 2236 Brooke Drive, Kalamazoo, MI 49048 | 2013-11-01 |
| 1467889576 | Aaron Van Heest | Social Worker | 813 Chrysler St., Kalamazoo, MI 49048 | 2013-10-03 |
| 1760737308 | Salem A. Salem | Internal Medicine | Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 | 2012-07-19 |
| 1356523229 | Borgess Medical Center | Psychiatry & Neurology | 1521 Gull Road, Kalamazoo, MI 49048 | 2007-12-03 |
| 1629290135 | Robert Claude Gano | Dentist | 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 | 2007-05-03 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598974826 | Alok Dash | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1722 Shaffer St Ste 2, Kalamazoo, MI 49048-1633 | 2007-05-22 |
| 1508926106 | Charles Francis Butler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2130 S Park St, Kalamazoo, MI 49001-3657 | 2006-12-12 |
| 1407956865 | Zahir A Rashid | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 John St, Kalamazoo, MI 49007-5341 | 2006-09-25 |
| 1992753255 | Michael P Halpin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 John St, Suite M406, Kalamazoo, MI 49007-5341 | 2006-05-05 |
| 1588612345 | Alphonse Delucia IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 601 John St, Suite M460, Kalamazoo, MI 49007-5341 | 2006-05-04 |
| 1750346888 | David E Martin | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1722 Shaffer St, Suite 2, Kalamazoo, MI 49048-1633 | 2006-04-20 |
| 1639145634 | Jerry W Pratt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1722 Shaffer St, Kalamazoo, MI 49048-1633 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710479191 | United Surgical Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2150 Association Dr, Okemos, MI 48864-4909 | 2018-06-01 |
| 1841719531 | Liberty Cardiolvascular Group Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5250 Auto Club Dr Ste 300l, Dearborn, MI 48126-2619 | 2017-09-13 |
| 1710411293 | Abdul Hassan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11 Chateaux Du Lac, Fenton, MI 48430 | 2017-04-12 |
| 1871982249 | Michigan Heart Lung and Vein Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2757 Leonard Ne, Ste 200, Grand Rapids, MI 49525-5807 | 2015-01-22 |
| 1154767382 | Michigan Thoracic Institute, PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6640 Kings Ct, West Bloomfield, MI 48322-2779 | 2013-05-15 |
| 1679815898 | Hanna Park | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Michigan St Ne Rm 8830, Grand Rapids, MI 49503 | 2013-03-26 |
| 1760730469 | Hurley Medical Center | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1125 S. Linden Road, Suite 700, Flint, MI 48532-4069 | 2012-08-28 |
| 1245588326 | Bakri Kaakeh | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4701 Towne Centre Rd Ste 301, Saginaw, MI 48604-2800 | 2012-08-21 |
| 1447521554 | Eduardo Arciniegas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3236 Interlaken St, West Bloomfield, MI 48323-1824 | 2012-01-20 |
| 1629358650 | Steven S. Demos | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3739 Highgate Rd, Norton Shores, MI 49441-5017 | 2011-08-22 |
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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.