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EASTLAKE CARDIOVASCULAR PC
NPI 1982657474
Internal Medicine - Cardiovascular Disease in St Clair Shores, MI

Active since May 18, 2006
24211 LITTLE MACK AVE, ST CLAIR SHORES, MI 48080(586) 498-0440(586) 498-0401 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastlake Cardiovascular Pc NPPES

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

EASTLAKE CARDIOVASCULAR PC (NPI 1982657474) is a healthcare organization registered as a cardiovascular disease in St Clair Shores, Michigan and active in the NPI registry since May 2006. The organization lists George B Ghanem, President, as its authorized official.

NPPES Registry Identity

NPI1982657474
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameEASTLAKE CARDIOVASCULAR PC
Location Address24211 LITTLE MACK AVESt Clair Shores, MI 48080-1190
Mailing Address24211 Little Mack AveSt Clair Shores, MI 48080-1190 · (586) 498-0440 · Fax (586) 498-0401
Phone(586) 498-0440
Fax(586) 498-0401
Organization SubpartNo
Authorized OfficialGeorge B GhanemPresident · (586) 498-0440
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1982657474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
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.
24211 LITTLE MACK AVE, St Clair Shores, MI 48080
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 15

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

ZAID KASMIKHA D.O.
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. GEORGE B GHANEM MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
THOMAS PATRICK DAVIS MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
DR. DAVID JOSE RODRIGUEZ M.D.
Internal Medicine (Interventional Cardiology)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
THOMAS ALEXANDER LALONDE MD
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
MARC OLIVER GOSSELIN DO
Internal Medicine (Cardiovascular Disease)
24211 LITTLE MACK AVE
ST CLAIR SHORES, MI 48080
Macomb County (586) 498-0440
RUDY J VERVAEKE MD PLC
Internal Medicine (Addiction Medicine)
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 775-7400
DR. DOMENIC G GROSSO D.O.
Student in an Organized Health Care Education/Training Program
24211 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 498-0440

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 Eastlake Cardiovascular PC's NPI number?

The NPI number for Eastlake Cardiovascular PC is 1982657474. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Eastlake Cardiovascular PC located?

Eastlake Cardiovascular PC is located at 24211 Little Mack Ave, St Clair Shores, MI 48080. The listed phone number is (586) 498-0440.

What is Eastlake Cardiovascular PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

What insurance does Eastlake Cardiovascular PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Eastlake Cardiovascular PC 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 Eastlake Cardiovascular PC was last updated on December 1, 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.