DR. ANDI PESHKEPIJA (NPI# 1912347279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912347279 |
| Entity Type | Individual |
| Full Name | DR. ANDI PESHKEPIJA |
| Credential | M.D. |
| Practice Address |
2799 W Grand Blvd # K8 Detroit MI 48202-2608 |
| Mailing Address |
1200 E Michigan Ave Ste 655 Lansing MI 48912-1837 |
| Practice Telephone | 8004367936 |
| Mailing Telephone | 5172672460 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2020-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
4301501902 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2333 Biddle Ave Ste 1a500, Wyandotte, MI 481924668 | 8004367936 |
| Street Address |
2799 W GRAND BLVD # K8 |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-2608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740299858 | Paul J. Corcoran | Surgery | 2799 W Grand Blvd # K8, Detroit, MI 48202-2608 | 2006-08-07 |
| 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 |
| Find all providers in zip 48202 | ||||
| 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 |
|---|---|---|---|---|
| 1437383197 | Barbara D'agnoluzzo Moreira | Surgery | 3663 Woodward Ave Ste 200, Wsu Detroit Medical Center, Detroit, MI 48201-2400 | 2009-05-11 |
| 1083822753 | Yevgeniy Rits | Surgery | 4160 John R #615, Harper Professional Bldg, Detroit, MI 48201-2065 | 2007-05-18 |
| 1740299858 | Paul J. Corcoran | Surgery | 2799 W Grand Blvd # K8, Detroit, MI 48202-2608 | 2006-08-07 |
| 1073992715 | Berg Vascular PC | Surgery | 22101 Moross Rd, Detroit, MI 48236-2148 | 2015-05-27 |
| 1215343553 | Frederick John Jaecklein | Surgery | 4201 Saint Antoine St, 9cuhc, Detroit, MI 48201-2153 | 2014-07-08 |
| 1689091878 | Melanie Schwiesow | Surgery | 311 Mack Ave Ste 64100, Detroit, MI 48201 | 2014-03-25 |
| 1992915813 | Stavros Kakkos | Surgery | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2007-05-22 |
| 1518171420 | John W. Sealey, D.o., P.C. | Surgery | 6001 W Outer Dr, Suite 445, Detroit, MI 48235-2614 | 2007-05-09 |
| 1801951637 | Hisham S Bassiouny | Surgery | 2799 W Grand Blvd, Detroit, MI 48202 | 2006-12-22 |
| 1114080744 | Alexander D. Shepard | Surgery | Henry Ford Health System, 2799 West Grand Boulevard, Detroit, MI 48202 | 2006-12-18 |
| Find all providers in DETROIT | ||||
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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.