MICHIGAN PEDIATRIC CARDIOVASCULAR SURGEONS PC
NPI 1619922176
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Detroit, MI

Q: What is Michigan Pediatric Cardiovascular Surgeons PC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since May 23, 2006

3901 BEAUBIEN BLVD, DETROIT, MI 48201(313) 745-5538(313) 993-0531 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Michigan Pediatric Cardiovascular Surgeons Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN PEDIATRIC CARDIOVASCULAR SURGEONS PC (NPI 1619922176) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Detroit, Michigan and active in the NPI registry since May 2006. The organization lists Henry Lane Walters, President, as its authorized official.

NPPES Registry Identity

NPI1619922176

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameMICHIGAN PEDIATRIC CARDIOVASCULAR SURGEONS PC

Location Address3901 BEAUBIEN BLVDDetroit, MI 48201-2119

Mailing AddressPo Box 441097Detroit, MI 48244-1097 · (313) 745-5538 · Fax (313) 993-0531

Phone(313) 745-5538

Fax(313) 993-0531

Organization SubpartNo

Authorized OfficialHenry Lane WaltersPresident · (313) 745-5538

Enumeration DateMay 23, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1619922176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

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.

3901 BEAUBIEN BLVD, Detroit, MI 48201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELANA ACKERMAN M.D.

Pediatrics

3901 BEAUBIEN BLVD
DETROIT, MI 48201

Wayne County (313) 745-5437

ELIANE ALHALABI MD

Student in an Organized Health Care Education/Training Program

3901 BEAUBIEN BLVD
DETROIT, MI 48201

Wayne County (216) 778-9109

DIANA MILAGROS TORPOCO RIVERA M.D.

Student in an Organized Health Care Education/Training Program

3901 BEAUBIEN BLVD
DETROIT, MI 48201

Wayne County (313) 745-1892

ELISE DAHAN MBBS

Student in an Organized Health Care Education/Training Program

3901 BEAUBIEN BLVD, PEDIATRIC EDUCATION-ROOM 3T72
DETROIT, MI 48201

Wayne County (313) 745-5533

DR. SNEHASHIS HAZRA MD

Pediatrics (Neonatal-Perinatal Medicine)

3901 BEAUBIEN BLVD
DETROIT, MI 48201

Wayne County (646) 617-8437

SATROOP GOGIA

Nurse Practitioner

3901 BEAUBIEN BLVD, 3RD FL CARLS BLDG.
DETROIT, MI 48201

Wayne County (313) 745-7179

DR. MITCHEL TODD WILLIAMS M.D.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

3901 BEAUBIEN BLVD, 3RD FLOOR NEUROLOGY DEPARTMENT
DETROIT, MI 48201

Wayne County (313) 745-5788

CHILDRENS HOSPITAL OF MICHIGAN

Pharmacy (Community/Retail Pharmacy)

3901 BEAUBIEN BLVD, ROOM 108
DETROIT, MI 48201

Wayne County (313) 745-1699

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Pediatric Cardiovascular Surgeons PC's NPI number?

The NPI number for Michigan Pediatric Cardiovascular Surgeons PC is 1619922176. It was assigned to this organization in the NPPES registry on May 23, 2006.

Where is Michigan Pediatric Cardiovascular Surgeons PC located?

Michigan Pediatric Cardiovascular Surgeons PC is located at 3901 Beaubien Blvd, Detroit, MI 48201. The listed phone number is (313) 745-5538.

What is Michigan Pediatric Cardiovascular Surgeons PC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Michigan Pediatric Cardiovascular Surgeons PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.