Simone N Cowan
EASTLAKE CARDIOVASCULAR PC


Address: 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Phone: 8104980440

Simone N Cowan (NPI# 1194987826, PAC ID# 1850516360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).

Physician Overview

Nation Provider ID (NPI) 1194987826
PAC ID by PECOS 1850516360
Professional Enrollment ID I20140625001278
Full Name Simone N Cowan
Organization Legal Name EASTLAKE CARDIOVASCULAR PC
Address 24211 Little Mack Ave
Saint Clair Shores
MI 48080-1151
Phone Number 8104980440
Gender F
Graduation Year 2008
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 4688562176
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230089 WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE
230165 ST JOHN HOSPITAL AND MEDICAL CENTER

Other Locations

Address Phone Organization
468 Cadieux Rd, Grosse Pointe, MI 48230-1507 3133431000 WILLIAM BEAUMONT HOSPITAL
24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151 8104980440 EASTLAKE CARDIOVASCULAR PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 35%
MIPS_EC_039_overall Screening for Osteoporosis for Women Aged 65-85 Years of Age 35%
MIPS_EC_046_65+ Medication Reconciliation Post-Discharge 97%
MIPS_EC_046_65+ Medication Reconciliation Post-Discharge 97%
MIPS_EC_046_overall Medication Reconciliation Post-Discharge 97%
MIPS_EC_046_overall Medication Reconciliation Post-Discharge 97%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 37%
MIPS_EC_110_overall Preventive Care and Screening: Influenza Immunization 37%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 58%
MIPS_EC_111_overall Pneumococcal Vaccination Status for Older Adults 58%
MIPS_EC_113_overall Colorectal Cancer Screening 44%
MIPS_EC_113_overall Colorectal Cancer Screening 44%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 37%
MIPS_EC_128_overall Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 37%
MIPS_EC_131_overall Pain Assessment and Follow-Up 78%
MIPS_EC_131_overall Pain Assessment and Follow-Up 78%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93%
MIPS_EC_226_overall Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 93%

Organization Information

Organization Legal Name EASTLAKE CARDIOVASCULAR PC
Physicians 12

Physicians with the same organization

Name Specialty Organization Address
Zaid Riyadh Kasmikha Internal Medicine Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
George B Ghanem Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Joan S Crawford Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Basil M Dudar Interventional Cardiology Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Michael T Tucciarone Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Marc O Gosselin Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Georges B Ghafari Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Edouard R Daher Interventional Cardiology Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
William J Cushing Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Anthony J Kawa Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151

Office Location

Street Address 24211 LITTLE MACK AVE
City SAINT CLAIR SHORES
State MI
Zip 48080-1151

Physicians in the same location

Name Specialty Organization Address
Zaid Riyadh Kasmikha Internal Medicine Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
George B Ghanem Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Joan S Crawford Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Basil M Dudar Interventional Cardiology Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Michael T Tucciarone Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Marc O Gosselin Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Georges B Ghafari Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Edouard R Daher Interventional Cardiology Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
William J Cushing Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Anthony J Kawa Cardiovascular Disease (cardiology) Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Wontika R Smith Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Constantine Sam Raphtis Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Michelle A Konieczny Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Anne B Mccarren Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Jennifer G Kuzel Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Kami Kveton Obstetrics/gynecology St Clair Shores Obstetrics and Gynecolgy, Plc 19714 E 10 Mile Rd, St Clair Shores, MI 48080-1064
Brilio Mojares Interventional Cardiology Eastlake Cardiovascular PC 24211 Little Mack Ave, Saint Clair Shores, MI 48080-1151
Anthony C Fazi Nurse Practitioner St Clair Orthopaedics and Sports Medicine PC 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186
Kirk Gregory Cleland Orthopedic Surgery St Clair Orthopaedics and Sports Medicine PC 23829 Little Mack Ave, Suite 100, Saint Clair Shores, MI 48080-1186
Kumara Rama Vascular Surgery 23829 Little Mack Ave, Suite 200, Saint Clair Shores, MI 48080-1188
Find all physicians in zip 48080

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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