OrganizationActive
Providence Cardiology Services I
NPI 1023080694 · Cardiovascular Disease Physician · Southfield, MI
Provider details
- NPI number
- 1023080694
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Issac Grinberg, President(248) 552-9858
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone: (248) 552-9858
Fax: (248) 552-9510
Street-level locationGet directions
Mailing address
22250 Providence Dr
Southfield, MI 48075-4825
Registry dates
- Enumerated
- 2006-02-07
- Last updated
- 2012-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.