IDARA JOHN EDEM (NPI# 1619524709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619524709 |
| Entity Type | Individual |
| Full Name | IDARA JOHN EDEM |
| Credential | MD, MSC, FRCPC |
| Practice Address |
4800 S Saginaw St Ste 1800 Flint MI 48507-2677 |
| Practice Telephone | 8107328336 |
| Mailing Telephone | 8107328336 |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301502929 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
4800 S SAGINAW ST STE 1800 |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437566783 | Dali Yin | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507 | 2014-07-18 |
| 1548736069 | Jawad A Shah Md PC | Durable Medical Equipment & Medical Supplies | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2018-10-23 |
| 1780178699 | Jawad A Shah Md PC | Nutritionist | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2018-06-15 |
| 1942794854 | Jawad A Shah Md PC | Skilled Nursing Facility | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2018-06-15 |
| 1205334018 | Jawad A Shah Md PC | Psychologist | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2018-01-26 |
| 1659808731 | Jawad A Shah Md PC | Orthopaedic Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2017-05-19 |
| 1154797579 | Joe Danko | Nurse Practitioner | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2015-08-19 |
| 1114325032 | Timothy Franke | Psychologist | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2014-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1881672962 | Vivekanand Palavali | Neurological Surgery | 3380 Beecher Road, Ste A, Flint, MI 48532 | 2006-01-09 |
| 1093260929 | Justine Pearl | Neurological Surgery | 4800 S Saginaw St, Suite 1800, Flint, MI 48507-2677 | 2016-08-21 |
| 1780056630 | Great Lakes Brain and Spine Surgery, Pllc | Neurological Surgery | 3380 Beecher Road, Ste A, Flint, MI 48532-4853 | 2015-10-30 |
| 1285018275 | Igen On Call Pllc | Neurological Surgery | 1295 S Linden Rd, Suite A, Flint, MI 48532-3498 | 2015-07-20 |
| 1952791915 | Sirajeddin Suleiman Belkhair | Neurological Surgery | 4800 S Saginaw St, Suite 1800, Flint, MI 48507-2677 | 2015-01-29 |
| 1023357308 | Integrated Hospital Specialists | Neurological Surgery | 4800 S Saginaw St, Flint, MI 48507-2677 | 2013-02-07 |
| 1588939904 | Integrated Hospital Specialists PC | Neurological Surgery | 4400 S Saginaw St, Suite 1220, Flint, MI 48507-2645 | 2012-03-19 |
| 1215104724 | Flint Neuroscience Center, Pllc | Neurological Surgery | G3239 Beecher Rd, Flint, MI 48532-3616 | 2008-05-14 |
| Find all providers in FLINT | ||||
Please comment or provide details below to improve the information on IDARA JOHN EDEM.
| 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.