Organization Active NPI

East Michigan Cardiology

  • Cardiovascular Disease Physician
  • Lapeer, MI
National Provider Identifier
1104376581
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EAST MICHIGAN CARDIOLOGY
Practice address
1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone
(810) 245-6111
Fax
(810) 538-0070
NPI assigned
Oct 10, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Abdul Alawwa, MD
Title
Managing Partner
Phone
(810) 245-6111

National Provider Directory

National Provider Directory

Locations

1031 Suncrest Dr
Lapeer, MI 48446
Phone (810) 664-4870

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X

Addresses

NPPES NPI Registry

Primary practice location

1031 Suncrest Dr
Lapeer, MI 48446-1136

Mailing address

1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone (810) 245-6111

Other practice location 1

2222 S Linden Rd
Flint, MI 48532-5475
Phone (810) 733-0790

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104376581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136",
            "telephone_number": "810-245-6111",
            "fax_number": "810-538-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461136",
            "telephone_number": "810-245-6111",
            "fax_number": "810-538-0070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2222 S Linden Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485325475",
            "country_code": "US",
            "telephone_number": "810-733-0790",
            "fax_number": "810-733-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST MICHIGAN CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALAWWA",
        "authorized_official_first_name": "ABDUL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "810-245-6111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.