Organization Active NPI

Greater Michigan Cardiovascular Surgeons PLC

  • Vascular Surgery Physician
  • Dearborn, MI
National Provider Identifier
1891753950
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
GREATER MICHIGAN CARDIOVASCULAR SURGEONS PLC
Practice address
18181 Oakwood Blvd
Suite 400
Dearborn, MI 48124-5032
Phone
(313) 436-2422
Fax
(313) 441-2488
NPI assigned
May 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bruce C Washington, MD
Title
Managing Agent Owner
Phone
(313) 436-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

18181 Oakwood Blvd
Suite 400
Dearborn, MI 48124-5032

Mailing address

18181 Oakwood Blvd
Suite 400
Dearborn, MI 48124-5032
Phone (313) 436-2422

National Provider Directory

National Provider Directory

Locations

18181 Oakwood Blvd
Ste 400
Dearborn, MI 48124
Phone (313) 336-9680

18181 Oakwood Blvd
Ste 311
Dearborn, MI 48124
Phone (313) 271-8170

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": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891753950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 400",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-436-2422",
            "fax_number": "313-441-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18181 OAKWOOD BLVD",
            "address_2": "SUITE 400",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481245032",
            "telephone_number": "313-436-2422",
            "fax_number": "313-441-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MICHIGAN CARDIOVASCULAR SURGEONS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING AGENT OWNER",
        "authorized_official_telephone_number": "313-436-2422",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.