BLOOMFIELD NEUROLOGY CLINIC, P.C. (NPI# 1134202732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134202732 |
| Entity Type | Organization |
| Organization Name | BLOOMFIELD NEUROLOGY CLINIC, P.C. |
| Practice Address |
43494 Woodward Ave Suite 103 Bloomfield Hills MI 48302-5052 |
| Practice Telephone | 2483388400 |
| Practice Fax Number | 2483388151 |
| Mailing Telephone | 2483388400 |
| Mailing Fax Number | 2483388151 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-04-15 |
| Authorized Official Name | DR. LIONEL GLASS (PRESIDENT) |
| Authorized Official Telephone | 2483388400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301031094 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 130635749 | 01 |
| MI | 3504593 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013108810 | Bloomfield Neurology Clinic, P.C. | Psychiatry & Neurology | 43494 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5052 | 2007-08-06 |
| Street Address |
43494 WOODWARD AVE SUITE 103 |
| City | BLOOMFIELD HILLS |
| State | MI |
| Zip Code | 48302-5052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053644 | Mark A Pleatman | Surgery | 43494 Woodward Ave, Ste 202, Bloomfield Hills, MI 48302-5054 | 2005-06-15 |
| 1013535087 | Tiffany Monique Thompson | Nurse Practitioner | 43494 Woodward Ave, Bloomfield Hills, MI 48302-5052 | 2020-07-07 |
| 1639472376 | Elizabeth F Jakobcic | Physician Assistant | 43494 Woodward Ave, Bloomfield Hills, MI 48302-5052 | 2010-12-20 |
| 1811133713 | Maria Sinishtaj | Physician Assistant | 43494 Woodward Ave, Suite 110, Bloomfield Hills, MI 48302-5052 | 2008-12-23 |
| 1518156645 | Bloomfield Internal Medicine Assoc PC | Internal Medicine | 43494 Woodward Ave, Suite 105, Bloomfield Hills, MI 48302-5052 | 2007-10-15 |
| 1013108810 | Bloomfield Neurology Clinic, P.C. | Psychiatry & Neurology | 43494 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5052 | 2007-08-06 |
| 1215154497 | Grunberger Diabetes Medical Center, PC | Internal Medicine | 43494 Woodward Ave, Suite 208, Bloomfield Hills, MI 48302-5052 | 2007-04-19 |
| 1316063274 | Anjana Myneni | Internal Medicine | 43494 Woodward Ave, Suite 208, Bloomfield Hills, MI 48302-5052 | 2007-03-22 |
| 1467511808 | Kenneth Kuehn Chun | Internal Medicine | 43494 Woodward Ave, Suite 105, Bloomfield Hills, MI 48302-5052 | 2006-12-08 |
| 1265503031 | Abul Shamsuddoha | Internal Medicine | 43494 Woodward Ave, Ste 103, Bloomfield Hills, MI 48302-5053 | 2006-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242634 | Lamuriel Lewis | Registered Nurse | 1430 South Telegraph Rd, Bloomfield Hills, MI 48302 | 2020-10-09 |
| 1730794082 | Ola Glezen | Registered Nurse | 1410 South Telegraph Road, Bloomfield Hills, MI 48302 | 2020-09-14 |
| 1114563400 | Henry Ford Health System | Pharmacy | 1961 S Telegraph Rd, Bloomfield Twp, MI 48302 | 2019-11-21 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1144887936 | Christine Beth Wilson De Medina | Psychologist | W-4111 Andover Road, Bloomfield Hills, MI 48302 | 2019-05-28 |
| 1942793799 | Andrew Joseph Grix | Physical Therapist | 2525 S Telegraph Rd Ste 314, Bloomfield Hills, MI 48302 | 2018-06-06 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1588112981 | Carol Van Kampen | Social Worker | 2550 S. Telegraph, Bloomfield Hills, MI 48302 | 2016-09-14 |
| 1770933848 | Rachelle Savalli | Family Medicine | 1961 South Telegraph Rd, Bloomfield Twp, MI 48302 | 2016-06-20 |
| 1699155366 | Aleksey Mishulin | Ophthalmology | 1750 S Telegraph Ste 205, Bloomfield Hills, MI 48302 | 2015-06-08 |
| Find all providers in zip 48302 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250842 | Neurodiagnostic & Sleep Disorder Center Nsd PC | Psychiatry & Neurology | 1595 Heronwood Ct, Bloomfield Hills, MI 48302-0832 | 2009-03-25 |
| 1154426518 | Lionel Glass | Psychiatry & Neurology | 43494 Woodward Avenue, Suite 103, Bloomfield Hills, MI 48302-0567 | 2006-09-13 |
| 1053364463 | Bharat Tolia Md PC | Psychiatry & Neurology | 2550 Telegraph Road, Suite 235, Bloomfield Hills, MI 48302-0909 | 2006-05-18 |
| 1003897562 | Malaz Almsaddi | Psychiatry & Neurology | 2525 S Telegraph Rd, Suite 200, Bloomfield Hills, MI 48302-0286 | 2005-11-10 |
| 1750549796 | Danny F Watson M.d., P.l.c. | Psychiatry & Neurology | 43097 Woodward Ave, Suite 101, Bloomfield Hills, MI 48302-5041 | 2008-05-27 |
| 1013108810 | Bloomfield Neurology Clinic, P.C. | Psychiatry & Neurology | 43494 Woodward Ave, Suite 103, Bloomfield Hills, MI 48302-5052 | 2007-08-06 |
| 1871783662 | Hala Nahhas, M.d., Pllc | Psychiatry & Neurology | 43700 Woodward Ave, Suite 211, Bloomfield Hills, MI 48302-5058 | 2007-07-27 |
| 1588860639 | Hala S Nahhas | Psychiatry & Neurology | 43700 Woodward Ave, Suite 211, Bloomfield Hills, MI 48302-5058 | 2007-06-25 |
| 1770535171 | Bharat Tolia | Psychiatry & Neurology | 2550 S Telegraph Rd, Suite 235, Bloomfield Hills, MI 48302-0950 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD HILLS |
| Zip Code | 48302 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.