PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN - NPI 1801453287

Q: What is Pediatric Cardiology Of Southeastren Michigan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

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About Pediatric Cardiology Of Southeastren Michigan NPPES

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

PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN (NPI 1801453287) is a healthcare organization registered as a pediatric cardiology in Troy, Michigan and active in the NPI registry since May 2019. The organization lists Regina C Shade, Consultant, as its authorized official.

NPPES Registry Identity

NPI1801453287

Entity TypeOrganization

Primary Taxonomy2080P0202X

Legal Business NamePEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN

Location Address1934 BLUFF CTTroy, MI 48098-6616

Mailing Address1934 Bluff CtTroy, MI 48098-6616 · (248) 312-0005 · Fax (248) 940-2949

Phone(248) 312-0005

Fax(248) 940-2949

Organization SubpartNo

Authorized OfficialRegina C ShadeConsultant · (586) 260-2858

Enumeration DateMay 21, 2019

✔ NPI 1801453287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Definition

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.

1934 BLUFF CT, Troy, MI 48098

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Other Identifiers 2

Medicaid1770551301MI

Medicaid1316244304MI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

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 Pediatric Cardiology Of Southeastren Michigan's NPI number?

The NPI number for Pediatric Cardiology Of Southeastren Michigan is 1801453287. It was assigned to this organization in the NPPES registry on May 21, 2019.

Where is Pediatric Cardiology Of Southeastren Michigan located?

Pediatric Cardiology Of Southeastren Michigan is located at 1934 Bluff Ct, Troy, MI 48098. The listed phone number is (248) 312-0005.

What is Pediatric Cardiology Of Southeastren Michigan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

What insurance does Pediatric Cardiology Of Southeastren Michigan accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pediatric Cardiology Of Southeastren Michigan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatric Cardiology Of Southeastren Michigan was last updated on May 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.