NEUROSURGERY GROUP, P.C. (NPI# 1386736536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386736536 |
| Entity Type | Organization |
| Organization Name | NEUROSURGERY GROUP, P.C. |
| Other Organization Name | WELLNESS PHYSICAL MEDICINE CENTER |
| Practice Address |
43650 Garfield Clinton Twp MI 48038-6332 |
| Practice Telephone | 5862630820 |
| Practice Fax Number | 5862633819 |
| Mailing Telephone | 5862630820 |
| Mailing Fax Number | 5862633819 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-08-19 |
| Authorized Official Name | MS. MARIE THERESA CHISHOLM (PRACTICE MANAGER) |
| Authorized Official Telephone | 5864128566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 052399 | MI | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 405324 | MI | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
051833 | MI | Allopathic & Osteopathic Physicians |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601002721 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5601003971 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207T00000X | Neurological Surgery | 028777 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4815088 | 05 | |
| MI | 1891095 | 05 | |
| MI | 1437099 | 05 | |
| MI | 4815097 | 05 |
| Other Name | Type Code |
|---|---|
| Wellness Physical Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275814915 | Neurosurgery Group, P.C. | Specialist | 43650 Garfield Rd, Clinton Twp, MI 48038-6332 | 2011-09-08 |
| Street Address |
43650 GARFIELD |
| City | CLINTON TWP |
| State | MI |
| Zip Code | 48038-6332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447864129 | Raphael Antonio Tramble | Counselor | River Oaks Suites Plaza 42815 Garfield Road, Suite 201, Clinton Township, MI 48038 | 2020-09-01 |
| 1275160384 | Varun C Sankuratri | Obstetrics & Gynecology | 16515 Nineteen Mile Rd, Gme Office: Attention Obgyn PC Kelly Bennet, Clinton Township, MI 48038 | 2020-03-26 |
| 1114563178 | Hopeful Reflections Counseling Center, Pllc | Counselor | 44444 Hayes, Clinton Township, MI 48038 | 2019-11-25 |
| 1588224570 | Karrie Marie Armstrong | Social Worker | 42815 Garfield Rd Macomb Therapy Group, Suite 201, Clinton Twp, MI 48038 | 2019-06-20 |
| 1386201424 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr Ste #2, Clinton Twp, MI 48038 | 2019-05-23 |
| 1306314489 | Rx Mart Pharmacy LLC | Pharmacy | 43171 Dalcoma Dr., Suite 2, Clinton Twp, MI 48038 | 2018-11-07 |
| 1730677592 | Najoi Sleiman | Physical Medicine & Rehabilitation | 15855 19-mile Road, Rehab Services, 4th Floor, South Tower, Clinton Twp., MI 48038 | 2018-04-27 |
| 1295230365 | David Michael Ragbeer | Emergency Medicine | Henry Ford Macomb Hospitals, 15855 Nineteen Mile Road, Clinton Township, MI 48038 | 2018-03-29 |
| 1932601317 | Synergy Pharmacy LLC | Pharmacy | 42621 Garfield Rd Ste 101a, Clinton Township, MI 48038 | 2018-03-01 |
| 1689175002 | Melissa Velez Miracle | Speech-Language Pathologist | 38809 Windmill Pointe W, Clinton Twp, MI 48038 | 2018-02-21 |
| Find all providers in zip 48038 | ||||
| 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 |
|---|---|---|---|---|
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1053698191 | University Neurosurgical Associates, PC | Neurological Surgery | 43475 Dalcoma Dr, Ste. 150, Clinton Twp, MI 48038-3591 | 2011-11-03 |
| 1033396056 | Manouchehr Nikpour Md PC | Neurological Surgery | 43321 Commons Dr, Clinton Twp, MI 48038-1109 | 2008-01-22 |
| 1457337230 | Richard S. Veyna | Neurological Surgery | 43475 Dalcoma Dr, Ste. 150, Clinton Twp, MI 48038-3591 | 2005-12-22 |
| 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 |
| 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 |
| 1235558990 | Mirjon Bishja | Neurological Surgery | 800 Cooper Ave Ste 11, Saginaw, MI 48602-5373 | 2014-04-09 |
| Find all providers with the same taxonomy | ||||
| City | CLINTON TWP |
| Zip Code | 48038 |
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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.