Organization Active NPI

Hillsdale Cardiology PC

  • Cardiovascular Disease Physician
  • Hillsdale, MI
National Provider Identifier
1770769754
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301071371 Issued in MI
Legal business name
HILLSDALE CARDIOLOGY PC
Practice address
17 S Manning St
Hillsdale, MI 49242-1821
Phone
(517) 439-1850
Fax
(517) 439-1805
NPI assigned
Jan 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Victor Owusu, MDNPI 1932185923
Title
Owner
Phone
(517) 439-1850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4301071371 MI Primary

Addresses

Primary practice location

17 S Manning St
Hillsdale, MI 49242-1821

Mailing address

3785 Bay Rd
Saginaw, MI 48603-2433
Phone (989) 791-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080328000308 MI Part B Supplier - Clinic/Group Practice 9830275049 Receives reassigned benefits from 1 practitioner
Practice locations: Hillsdale, MI

National Provider Directory

National Provider Directory

Locations

17 S Manning St
Hillsdale, MI 49242
Phone (269) 580-0468

801 Joe Mann Blvd
Ste P-6
Midland, MI 48642

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1770769754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032433",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 S MANNING ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421821",
            "telephone_number": "517-439-1850",
            "fax_number": "517-439-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "OWUSU",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-439-1850",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301071371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.