Pediatric Cardiology of Southeastren Michigan, PLLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN, PLLC

Practice address

43380 Woodward Ave Ste 105
Bloomfield Hills, MI 48302-5050

Phone

(248) 335-8500

Fax

(248) 940-2949

NPI assigned

Jun 14, 2019

Last updated

Jun 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rossitza Prokopieva Pironkova, MDNPI 1316244304

Title

Owner

Phone

(248) 335-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Cardiology of Southeastren Mic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Cardiology of Southeastren Michigan

  • Pediatric Cardiology Physician
  • Troy, MI
  • NPI 1801453287
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rossitza Prokopieva Pironkova, M.D.

  • Pediatric Cardiology Physician
  • Bloomfield Hills, MI
  • NPI 1316244304
  NPD Authorized official
• Hanna Michel Khouri, M.D

  • Pediatric Cardiology Physician
  • Bloomfield Hills, MI
  • NPI 1770551301
  NPD (past)
• Nestor J Truccone, MD

  • Pediatric Cardiology Physician
  • Bloomfield Hills, MI
  • NPI 1538137021
  NPD (past)

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1386204022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43380 WOODWARD AVE STE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025050",
            "telephone_number": "248-335-8500",
            "fax_number": "248-940-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43380 WOODWARD AVE STE 105",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025050",
            "telephone_number": "248-335-8500",
            "fax_number": "248-940-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY OF SOUTHEASTREN MICHIGAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "PIRONKOVA",
        "authorized_official_first_name": "ROSSITZA",
        "authorized_official_middle_name": "PROKOPIEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-335-8500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316244304",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Alan Paulisin, D.O
• Selina Paupert, DPT
• John H. Payne, D.D.S.
• Pear-Fect Diet PLLC
• Pediatric and Adolescent Behavioral Counseling, LLC. (Pediatric and Adult Behavioral Counseling)
• Pediatric Gastroenterology Clinic, P.C.
• Pediatric Rehab Specialists
• Pediatric Specialists of Bloomfield Hills,P.C
• Harriet Carolyn Pelton, O.D.
• Gisele Pena

• Pediatric Cardiology Physician in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Pediatric Cardiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.