JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC (NPI# 1326412628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326412628 |
| Entity Type | Organization |
| Organization Name | JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC |
| Practice Address |
2333 Progress St West Branch MI 48661-9384 |
| Mailing Address |
Dept 771749 Po Box 77000 Detroit MI 48277-1749 |
| Practice Telephone | 9893433178 |
| Practice Fax Number | 9893433293 |
| Mailing Telephone | 9893433178 |
| Mailing Fax Number | 9893433293 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | DR. JAYANT JAGANNATHAN (PRESIDENT) |
| Authorized Official Telephone | 9893433178 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301095038 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1154969004 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 4 Columbus Ave Ste 140, Bay City, MI 48708-6469 | 2019-12-11 |
| 1902260417 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 6255 Inkster Rd, Suite 206, Garden City, MI 48135-2577 | 2016-04-11 |
| 1447615026 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 309 W 12th Ave, Suite 102, Sault Sainte Marie, MI 49783-2886 | 2015-12-23 |
| 1356680912 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 3290 W Big Beaver Rd, Suite 150, Troy, MI 48084-2903 | 2013-02-01 |
| Street Address |
2333 PROGRESS ST |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-9384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104882042 | Cynthia K Rubert Md PC | Orthopaedic Surgery | 2333 Progress St, West Branch, MI 48661 | 2006-04-20 |
| 1245634310 | Guardian Anesthesia Services Pllc | Anesthesiology | 2333 Progress St, West Branch, MI 48661-9384 | 2014-10-17 |
| 1164670774 | Mid Michigan Family Orthopaedics PC | Orthopaedic Surgery | 2333 Progress St, West Branch, MI 48661-9384 | 2008-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992083539 | Multiple Sclerosis Centre of Michigan Plc | Neurological Surgery | 337 E Houghton Ave, Suite D, West Branch, MI 48661-1127 | 2011-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026205 | Clark J Okulski | Neurological Surgery | 15366 Windmill Pointe Dr, Grosse Pointe Park, MI 48230-1744 | 2020-02-25 |
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1750871745 | Sara Saleh | Neurological Surgery | 1500 E Medical Center Dr Spc 5338, Ann Arbor, MI 48109-5338 | 2018-05-15 |
| 1639608664 | Aaron Rapp | Neurological Surgery | 3601 W 13 Mile Rd Dept, Gme Dept. Neurosurgery, Royal Oak, MI 48073-6712 | 2017-06-04 |
| 1386171775 | Inscribed Pllc | Neurological Surgery | 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025-5814 | 2017-05-16 |
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1629451901 | Dejan Slavnic | Neurological Surgery | 42758 Georgetown, Novi, MI 48375-1766 | 2015-07-03 |
| 1467842955 | Institute of General and Endovascular Neurosurgery | Neurological Surgery | 1295 S. Linden Road, Suite A, Flint, MI 48532 | 2015-02-04 |
| 1437566783 | Dali Yin | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507 | 2014-07-18 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
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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.