Acv Traverse City PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ACV TRAVERSE CITY PLLC

Practice address

3865 W Front St Ste 4-5
Traverse City, MI 49684-8101

Phone

(231) 252-0414

Fax

(231) 252-0416

NPI assigned

Jun 27, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shawna Miller

Title

RCM Director

Phone

(616) 226-5202

Specialties & licenses 2

Addresses

Other names 1

• Cardiac and Vascular Consultants of Northern Michigan Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy S Collins, N.P.

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1669559399
  Medicare reassignment Care Compare group NPD
• Roberto A Corpus Jr., M.D.

  • Cardiovascular Disease Physician
  • Traverse City, MI
  • NPI 1417995432
  Medicare reassignment Care Compare group NPD
• Heather Richey, NP

  • Nurse Practitioner
  • Traverse City, MI
  • NPI 1730630096
  Medicare reassignment NPD
• Fadi A Saab, MD

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1528028412
  NPD
• Mohamad Saab, D.O

  • Interventional Cardiology Physician
  • Ontario, OH
  • NPI 1316258742
  NPD
• Mark Jesin, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Rapids, MI
  • NPI 1184885154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768694400000",
    "number": "1245916709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3865 W FRONT ST STE 4-5",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848101",
            "telephone_number": "231-252-0414",
            "fax_number": "231-252-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 W FRONT ST STE 4-5",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848101",
            "telephone_number": "231-252-0414",
            "fax_number": "231-252-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACV TRAVERSE CITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_title_or_position": "RCM DIRECTOR",
        "authorized_official_telephone_number": "616-226-5202"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac and Vascular Consultants of Northern Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sarah Elizabeth Adama
• Amanda L Adams
• Andrew M Adams, DO
• John Adams, PA-C
• Nichole Adams

• Interventional Cardiology Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Interventional Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.