MIDWEST NEUROMONITORING ASSOCIATES, PLLC (NPI# 1598066730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598066730 |
| Entity Type | Organization |
| Organization Name | MIDWEST NEUROMONITORING ASSOCIATES, PLLC |
| Practice Address |
1859 Marie Cir Bloomfield MI 48302-0748 |
| Mailing Address |
10275 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3445 |
| Practice Telephone | 8884642466 |
| Mailing Telephone | 8884642466 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | KAREN WESCOTT (SR INS CONTRACTING SPECIALIST) |
| Authorized Official Telephone | 8884642466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Winfield Rd, Princeton, NJ 085402431 | 8884642466 | |
| 25 Park Ln S Apt 3201, Jersey City, NJ 073103129 | 8664642466 |
| Street Address |
1859 MARIE CIR |
| City | BLOOMFIELD |
| State | MI |
| Zip Code | 48302-0748 |
| 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 |
|---|---|---|---|---|
| 1265507461 | Nilaya Babu Bhawsar | Psychiatry & Neurology | 230 Sherman Ave., Bloomfield, NJ 07003 | 2006-11-22 |
| 1982680302 | Matthew J Deluca | Psychiatry & Neurology | 265 Broad St, Bloomfield, NJ 07003-2764 | 2005-12-17 |
| 1144221607 | Gregory Warwick Taylor | Psychiatry & Neurology | 34 Jerome Ave Ste 204, Bloomfield, CT 06002-2463 | 2005-08-09 |
| 1083183453 | C River Neurology of Connecticut LLC | Psychiatry & Neurology | 34 Jerome Ave Ste 204, Bloomfield, CT 06002-2463 | 2018-11-15 |
| 1548684244 | Neurology Consultants of North Jersey Professional Association | Psychiatry & Neurology | 194 Broad St, Suite 4, Bloomfield, NJ 07003-2606 | 2014-02-16 |
| 1235440926 | Matthew J. Deluca, M.d., P.a. | Psychiatry & Neurology | 265 Broad St, Bloomfield, NJ 07003-2764 | 2010-06-28 |
| 1508025834 | Ayman M Ibrahim | Psychiatry & Neurology | 194 Broad St, Suite 4, Bloomfield, NJ 07003-2606 | 2008-06-02 |
| 1508898339 | Michael M Krinsky | Psychiatry & Neurology | 580 Cottage Grove Rd, Bloomfield, CT 06002-3088 | 2006-07-06 |
| 1013955012 | Connecticut Neurology Consultants PC | Psychiatry & Neurology | 580 Cottage Grove Rd, #106, Bloomfield, CT 06002-3088 | 2006-06-02 |
| 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 |
| Zip Code | 48302 |
Please comment or provide details below to improve the information on MIDWEST NEUROMONITORING ASSOCIATES, PLLC.
| 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.