Michigan Heart & Vascular Specialists, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MICHIGAN HEART & VASCULAR SPECIALISTS, PC

Practice address

560 W Mitchell St
Suite 400
Petoskey, MI 49770-2275

Phone

(231) 487-2490

Fax

(231) 487-6055

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Debra A. Noblett, BSN, MBA

Title

Practice Administrator

Phone

(231) 487-9807

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Petoskey Cardiology, PC Former legal business name

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1649291873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 400",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST",
            "address_2": "SUITE 400",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702275",
            "telephone_number": "231-487-2490",
            "fax_number": "231-487-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN HEART & VASCULAR SPECIALISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "NOBLETT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "231-487-9807",
        "authorized_official_credential": "BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "G05370",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OB41013",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petoskey Cardiology, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lauren Wadland Meisel, M.D.
• Amber Merrow, MSW, LMSW
• Kennedy Mesnard
• Ryan Miceli
• Michael W Johnson, MD, PC
• Brandon Robert Peter Mielke, PHD, LPC, NCC, CAADC
• Jacob A Milbrandt, DPT
• Joseph Andrew Milbrandt, PHARMD
• Miles W Trumble MD PLLC (Bear River Eye Associates)
• David K Miller Jr., DDS

• Cardiovascular Disease Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Cardiovascular Disease Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.