VIVID NEUROLOGY PC


Address: 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774
Phone: 2488648752

VIVID NEUROLOGY PC (NPI# 1609489988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609489988
Entity Type Organization
Organization Name VIVID NEUROLOGY PC
Practice Address 26400 W 12 Mile Rd Ste 20
Southfield
MI 48034-1774
Practice Telephone 2488648752
Practice Fax Number 2489200744
Mailing Telephone 2488648752
Mailing Fax Number 2489200744
Enumeration Date 2020-08-26
Last Update Date 2020-08-26
Authorized Official Name REMONDA ELYAS (MANAGER)
Authorized Official Telephone 2488648752
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
Allopathic & Osteopathic Physicians

Office Location

Street Address 26400 W 12 MILE RD STE 20
City SOUTHFIELD
State MI
Zip Code 48034-1774

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992261481 Lucid Neurology PC Psychiatry & Neurology 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 2019-02-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780219196 I. R. Horn & Associates LLC Community/Behavioral Health 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 2020-03-05
1003378753 Alexis Shivers Physical Therapy Assistant 27500 Lahser Rd, Southfield, MI 48034 2019-04-02
1598257768 El-abbadi Pediatric Clinic Pediatrics 24676 Lahser Road, Southfield, MI 48034 2018-06-04
1689166894 Recore Rehabilitation Services Clinic/Center 25899 W 12 Mile Rd # 340, Southfield, MI 48034 2018-06-04
1578063749 El-abbadi Healthcare Center Clinic/Center 27403 Lahser Rd, Southfield, MI 48034 2018-02-14
1063924819 Diagnostic Hematology, PC Clinical Medical Laboratory 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 2017-11-02
1962929125 Toms Holistic Home Visits Pllc Clinic/Center 28675 Franklin Rd, Suite 217, Southfield, MI 48034 2017-08-28
1265956940 Abbadi Healthcare Pharmacy 27402 Lahser Road, Southfield, MI 48034 2017-08-03
1720517113 Theramedic Home Health Care LLC Home Health 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 2017-06-08
1538695804 Adrienne Rutherford Occupational Therapist 25999 Franklin Pointe Dr, Southfield, MI 48034 2017-05-05
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306473418 International Medical Clinic Pllc Psychiatry & Neurology 26100 American Dr Ste 200, Southfield, MI 48034-2367 2020-03-26
1992261481 Lucid Neurology PC Psychiatry & Neurology 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 2019-02-20
1891936977 Comprehensive Clinical Neurology P.C. Psychiatry & Neurology 23077 Greenfield Rd Ste 222, Southfield, MI 48075-3745 2009-03-18
1730246737 Evolving Evolutions LLC Psychiatry & Neurology 29201 Telegraph Rd Ste 240, Southfield, MI 48034-7645 2007-01-02
1427153915 Steven Edward Newman Psychiatry & Neurology 25811 W. 12 Mile Rd, Southfield, MI 48034 2006-09-13
1194703207 Nancy Jingyang Cao Psychiatry & Neurology 25865 W 12 Mile Rd Ste D110, Southfield, MI 48034-1817 2006-01-09
1932181989 Rashmi Gupta Psychiatry & Neurology 29592 Northwestern Hwy, Southfield, MI 48034-1019 2005-11-16
1548269897 Tessy C Jenkins Psychiatry & Neurology 27200 Lahser Rd, Suite 100, Southfield, MI 48034 2005-07-19
1316944275 Leonard Sahn Psychiatry & Neurology 25330 Telegraph Rd, Suite 340, Southfield, MI 48034-7454 2005-07-06
1366445173 Lawrence Mark Eilender Psychiatry & Neurology 26400 W 12 Mile Rd, Ste 170, Southfield, MI 48034-1753 2005-05-24
Find all providers in SOUTHFIELD

Competitor

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City SOUTHFIELD
Zip Code 48034

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Dataset Information

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.

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