JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC (NPI# 1356680912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356680912 |
| Entity Type | Organization |
| Organization Name | JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC |
| Practice Address |
3290 W Big Beaver Rd Suite 150 Troy MI 48084-2903 |
| Practice Telephone | 2487926527 |
| Practice Fax Number | 2487929106 |
| Mailing Telephone | 2487926527 |
| Mailing Fax Number | 2487929106 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | DR. JAYANT JAGANNATHAN (PRESIDENT) |
| Authorized Official Telephone | 2487926527 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301095038 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1447299797 | 05 | |
| MI | P52980058 | 05 |
| 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 |
| 1326412628 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 2333 Progress St, West Branch, MI 48661-9384 | 2015-11-24 |
| Street Address |
3290 W BIG BEAVER RD SUITE 150 |
| City | TROY |
| State | MI |
| Zip Code | 48084-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376549188 | William Sanford Floyd | Obstetrics & Gynecology | 3290 W Big Beaver Rd, Ste 444, Troy, MI 48084-2914 | 2005-06-27 |
| 1619511185 | Ann Elizabeth Lukacsy | Counselor | 3290 W Big Beaver Rd, Troy, MI 48084-2903 | 2019-10-29 |
| 1093083057 | Advisacare Healthcare Solutions, Inc. | Home Health | 3290 W Big Beaver Rd, Suite 260, Troy, MI 48084-2903 | 2011-12-06 |
| 1700086469 | Michael P Maddens | Internal Medicine | 3290 W Big Beaver Rd, Ste 420, Troy, MI 48084-2903 | 2007-07-20 |
| 1184832065 | Deemah Salem | Obstetrics & Gynecology | 3290 W Big Beaver Rd, Suite 444, Troy, MI 48084-2903 | 2007-05-21 |
| 1225102775 | Debra A. Glitz, M.d., P.l.l.c. | Psychiatry & Neurology | 3290 W Big Beaver Rd, Suite 509, Troy, MI 48084-2903 | 2006-11-17 |
| 1750335873 | Jennifer L. Foley | Obstetrics & Gynecology | 3290 W Big Beaver Rd, Suite 444, Troy, MI 48084-2914 | 2006-05-22 |
| 1821046509 | Somerset Gynecology & Obstetrics PC | Obstetrics & Gynecology | 3290 W Big Beaver Rd, Suite 444, Troy, MI 48084-2903 | 2006-05-04 |
| 1710965496 | Russell G Hug | Internal Medicine | 3290 W Big Beaver Rd, Ste 420, Troy, MI 48084 | 2006-01-04 |
| 1053399824 | Bradley H Sabin | Internal Medicine | 3290 W Big Beaver Rd, Ste 420, Troy, MI 48084-2903 | 2006-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360242 | Keely Erin Zuri | Physical Therapy Assistant | 3250 W. Big Beaver, Troy, MI 48084 | 2020-09-09 |
| 1841762473 | Hunter Thomas Michaels | Kinesiotherapist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-12-20 |
| 1265900864 | Michelle Denise Carter | Massage Therapist | 3250 West Big Beaver Suite 228, Troy, MI 48084 | 2018-11-13 |
| 1770083925 | Troy Daniel Burrell | Clinical Exercise Physiologist | 3250 West Big Beaver Rd, Suite 228, Troy, MI 48084 | 2018-02-14 |
| 1174030175 | Alexander Scott | Kinesiotherapist | 3250 W. Big Beaver Rd., Troy, MI 48084 | 2017-12-29 |
| 1568977213 | Mallory Rose Valeri | Specialist/Technologist | 3250 W. Big Beaver Rd, Suite 228, Troy, MI 48084 | 2017-12-04 |
| 1710409651 | Eduardo Martin Pinto | Pharmacist | 3811 Coolidge Hwy, Troy, MI 48084 | 2017-07-12 |
| 1659891653 | Tricia Michelle Forgash | Recreation Therapist | 1998 Dorchester Dr. N 106, Troy, MI 48084 | 2017-06-21 |
| 1851759278 | Lauren Field | Counselor | 3290 W Big Beaver Rd Ste 188, Troy, MI 48084 | 2016-01-30 |
| 1265806939 | Tammy Scott-barney | Nurse Practitioner | 888 W Big Beaver Rd Ste 900, Troy, MI 48084 | 2015-11-18 |
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| 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 |
|---|---|---|---|---|
| 1306120498 | Amit Amit | Neurological Surgery | 1303 Kirts Blvd, Apt 228, Troy, MI 48084-4804 | 2011-10-06 |
| 1356794960 | University Neurosurgical Associates, PC | Neurological Surgery | 1500 W Big Beaver Rd, Ste 150, Troy, MI 48084-3522 | 2016-07-19 |
| 1952790925 | University Neurosurgical Associates PC | Neurological Surgery | 44199 Dequindre Rd, Area C Ste 518, Troy, MI 48085-1128 | 2015-01-14 |
| 1306027768 | Pinehurst Surgical Clinic Pa | Neurological Surgery | 522 Allen St, Suite 201, Troy, NC 27371-2861 | 2007-11-14 |
| 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 |
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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.