CVM of Michigan PLLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

CVM OF MICHIGAN PLLC

Practice address

6801 Allen Rd
Allen Park, MI 48101-2007

Phone

(301) 982-2000

NPI assigned

Jan 30, 2020

Last updated

Sep 4, 2020By 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

Jakia Lewis

Title

Director of Revenue Cycle Mngmnt

Phone

(301) 982-2000

Specialties & licenses 3

Addresses

Electronic endpoints 2

Locations

Interoperability endpoints

• Direct secure messaging: credentialing@cvm-usa.com

Practitioners 2

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.

• Briana Stebbins, PA

  • Physician Assistant
  • Pontiac, MI
  • NPI 1821522566
  NPD
• Krystal Alcott, PA-C

  • Medical Physician Assistant
  • Greenbelt, MD
  • NPI 1982114047
  NPD

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1487285227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 900",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703504",
            "telephone_number": "301-982-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012007",
            "telephone_number": "301-982-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Isaac Streets Dr Ste 131",
            "address_purpose": "LOCATION",
            "city": "Oregon",
            "state": "OH",
            "postal_code": "436168203",
            "country_code": "US",
            "telephone_number": "301-486-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Michigan Ave.",
            "address_2": "suite 300",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "48124",
            "country_code": "US",
            "telephone_number": "301-486-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CVM OF MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAKIA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MNGMNT",
        "authorized_official_telephone_number": "301-982-2000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CREDENTIALING@CVM-USA.COM",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6801 Allen Rd",
            "city": "Allen Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481012007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Credentialing@cvm-usa.com",
            "affiliation": "N",
            "address_1": "6801 Allen Rd",
            "city": "Allen Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481012007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Richard Cotton Sr., D.D.S.
• Marcie Cox
• Angelah Dawn Cramer, LMSW, CAADC, CCS
• Kathi-Jo Cramer, O.D.
• Christopher James Curran, MS, ATC
• D.a.Krevsky,M.D.P.C.
• D.O.C Senior Services LLC
• Mohamad Dabaja
• Amin Dabajeh, PT, DPT
• Anthony Davey, DPT

• Vascular Surgery Physician in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Vascular Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.