PROMEDICA CARDIOLOGY OF MONROE
NPI 1659676708
Internal Medicine - Cardiovascular Disease in Monroe, MI

Active since January 21, 2011
730 N MACOMB ST, SUITE 429, MONROE, MI 48162(734) 242-7060(734) 241-7580 Get Directions Write a Review

NPPES record last updated: October 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2023, Feb 4, 2021, Aug 9, 2016 (3 updates tracked since 2016).

  • Organization
  • Internal Medicine
  • Cardiovascular Disease

About PROMEDICA CARDIOLOGY OF MONROE

This page provides the complete NPI Profile along with additional information for Promedica Cardiology Of Monroe, an internist established in Monroe, Michigan operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1659676708 assigned on January 2011. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Promedica Cardiology Of Monroe operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Promedica Cardiology Of Monroe. The authorized official of this NPI record is Tanya Wines (Director, System Credentialing)

NPI
1659676708 Verify this NPI
Provider Legal Name
PROMEDICA MONROE CARDIOLOGY, PLLC
Other Organization Name
PROMEDICA CARDIOLOGY OF MONROE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
730 N MACOMB ST SUITE 429 MONROE, MI 48162
Location Phone
(734) 242-7060
Location Fax
(734) 241-7580
Mailing Address
100 MADISON AVE MSC-S38805 TOLEDO, OH 43604
Mailing Phone
(844) 373-0871
Mailing Fax
(419) 885-3921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-21-2011
Last Update Date
10-04-2023
Code Navigator

An internist like Promedica Cardiology Of Monroe is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Cardiovascular Disease

Taxonomy Code
207RC0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207RI0011XAllopathic & Osteopathic Physicians

Internal Medicine
Interventional Cardiology

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TANYA WINES

Authorized Official Title
DIRECTOR, SYSTEM CREDENTIALING
Authorized Official Phone
(567) 585-0422

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3126683MEDICAID (05)OH 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
730 N MACOMB ST, #418
MONROE, MI 48162
Pharmacist
730 N MACOMB ST
MONROE, MI 48162
Specialist
730 N MACOMB ST, STE #429
MONROE, MI 48162
Internal Medicine
730 N MACOMB ST, SUITE 229
MONROE, MI 48162
Otolaryngology
730 N MACOMB ST, SUITE 320
MONROE, MI 48162
Surgery
730 N MACOMB ST, SUITE 329
MONROE, MI 48162
Internal Medicine (Rheumatology)
730 N MACOMB ST, SUITE 320
MONROE, MI 48162
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, SUITE 429
MONROE, MI 48162
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, STE 429
MONROE, MI 48162
Pain Medicine (Interventional Pain Medicine)
730 N MACOMB ST, SUITE 410
MONROE, MI 48162
Internal Medicine
730 N MACOMB ST, SUITE# 324
MONROE, MI 48162
Obstetrics & Gynecology
730 N MACOMB ST, SUITE 324
MONROE, MI 48162
Pain Medicine (Interventional Pain Medicine)
730 N MACOMB ST, SUITE 410
MONROE, MI 48162
Obstetrics & Gynecology
730 N MACOMB ST, SUITE 324
MONROE, MI 48162
Pediatrics (Pediatric Gastroenterology)
730 N MACOMB ST, SUITE 300
MONROE, MI 48162
Pharmacist
730 N MACOMB ST, SUITE 305
MONROE, MI 48162
Surgery
730 N MACOMB ST, SUITE 329
MONROE, MI 48162
Urology
730 N MACOMB ST, STE 319
MONROE, MI 48162
Counselor (Professional)
730 N MACOMB ST
MONROE, MI 48162
Pediatrics
730 N MACOMB ST, SUITE 324
MONROE, MI 48162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659676708, enumerated as an "organization" on January 21, 2011.

The provider is located at 730 N MACOMB ST SUITE 429 MONROE, MI 48162 and the phone number is (734) 242-7060.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.