Organization Active NPI

Healthy Heart & Vascular PLLC

  • Cardiovascular Disease Physician
  • Sterling HGTS, MI
National Provider Identifier
1861607624
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
5101008866 Issued in MI
Legal business name
HEALTHY HEART & VASCULAR PLLC
Practice address
39242 Dequindre
Suite 103
Sterling HGTS, MI 48310
Phone
(586) 795-3600
Fax
(586) 795-5446
NPI assigned
May 14, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Michael Dangovian, D.O.NPI 1134122245
Title
Cardiology
Phone
(586) 795-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101008866 MI Primary

Addresses

Primary practice location

39242 Dequindre
Suite 103
Sterling HGTS, MI 48310

Mailing address

39242 Dequindre
Suite103
Sterling HGTS, MI 48310
Phone (586) 795-3600

National Provider Directory

National Provider Directory

Locations

2219 Momentum Pl
Chicago, IL 60689

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1861607624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE",
            "address_2": "SUITE103",
            "city": "STERLING HGTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-795-3600",
            "fax_number": "586-795-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39242 DEQUINDRE",
            "address_2": "SUITE 103",
            "city": "STERLING HGTS",
            "state": "MI",
            "postal_code": "48310",
            "telephone_number": "586-795-3600",
            "fax_number": "586-795-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY HEART & VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DANGOVIAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CARDIOLOGY",
        "authorized_official_telephone_number": "586-795-3600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101008866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling HGTS, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.