DR. SERGIO BARTAKIAN (NPI# 1801001771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801001771 |
| Entity Type | Individual |
| Full Name | DR. SERGIO BARTAKIAN |
| Credential | MD |
| Practice Address |
Children's Hospital of Mi - 4th 3901 Beaubien Detroit MI 48201 |
| Mailing Address |
University Pediatricians 4201 St. Antoine Uhc 5d # 226 Detroit MI 48201 |
| Practice Telephone | 3137455481 |
| Practice Fax Number | 3139662423 |
| Mailing Telephone | 3139665051 |
| Mailing Fax Number | 3139660665 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301119342 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 57.011456 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
4301119342 | MI | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
P7881 | TX | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
A121219 | CA | Allopathic & Osteopathic Physicians |
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
47596 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 329070204 | 01 |
| TX | 329070203 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 N Santa Rosa St, San Antonio, TX 78207 | 2107042271 |
| Street Address |
CHILDREN'S HOSPITAL OF MI - 4TH 3901 BEAUBIEN |
| City | DETROIT |
| State | MI |
| Zip Code | 48201 |
| 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 Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679511737 | Richard A. Humes | Pediatrics | 3901 Beaubien Blvd -, Childrens Hospital of Michigan 4th Fl, Detroit, MI 48201 | 2006-06-02 |
| 1174560668 | Peter P. Karpawich | Pediatrics | 3901 Beaubien - 4th Fl, Childrens Hospital of Michigan, Detroit, MI 48201 | 2006-06-01 |
| 1831485382 | Stuart Covi | Pediatrics | 22201 Moross Rd, Suite 275, Detroit, MI 48236-2169 | 2011-06-23 |
| 1891952370 | Jennifer Marie Blake | Pediatrics | 3901 Beaubien St, Childrens Hospital of Mi 4th Fl, Detroit, MI 48201-2119 | 2008-05-21 |
| 1942488945 | David K. Lawrence | Pediatrics | 3901 Beaubien, 4th Fl, Detroit, MI 48201 | 2008-02-01 |
| 1861615007 | Pooja Gupta | Pediatrics | 3901 Beaubien - 4th Fl, Childrens Hospital of Mi, Detroit, MI 48201-2119 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801453287 | Pediatric Cardiology of Southeastren Michigan | Pediatrics | 1934 Bluff Ct, Troy, MI 48098-6616 | 2019-05-21 |
| 1417222779 | Sujatha Buddhe | Pediatrics | 2289 Dorchester Dr N Apt 203, Troy, MI 48084-3723 | 2012-03-19 |
| 1316244304 | Rossitza Prokopieva Pironkova | Pediatrics | 43380 Woodward Ave Ste 105, Bloomfield Hills, MI 48302-5050 | 2011-02-28 |
| 1881709871 | Hani Zreik | Pediatrics | 900 Cooper Avenue, Suite 4200, Saginaw, MI 48602-5394 | 2006-08-20 |
| 1326080102 | James Lee Christiansen | Pediatrics | 1414 West Fair Ave, Ste 334, Marquette, MI 49855 | 2006-06-13 |
| 1700826542 | James L Christiansen Md PC | Pediatrics | 1414 West Fair Avenue, Suite 334, Marquette, MI 49855 | 2006-06-08 |
| 1013977115 | Elliott Weinhouse | Pediatrics | 3535 W 13 Mile Rd Ste 108, Royal Oak, MI 48073-6770 | 2006-03-24 |
| 1770551301 | Hanna Michel Khouri | Pediatrics | 43380 Woodward Ave, Ste 105, Bloomfield Hills, MI 48302 | 2006-03-09 |
| 1013903947 | Linda Barbara Pauliks | Pediatrics | 25 Michigan St Ne Ste 4200, Grand Rapids, MI 49503-2559 | 2005-09-26 |
| 1083608806 | Anuradha Prabhu | Pediatrics | 44199 Dequindre Rd Ste 615, Beaumont Pediatric Subspecialty Clinic, Troy, MI 48085-1128 | 2005-09-08 |
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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.