UNIVERSITY NEUROSURGICAL ASSOCIATES PC (NPI# 1699761379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699761379 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY NEUROSURGICAL ASSOCIATES PC |
| Other Organization Name | MICHIGAN HEAD AND SPINE INSTITUTE |
| Practice Address |
29275 Northwestern Hwy Ste 100 Southfield MI 48034-1044 |
| Practice Telephone | 2487843708 |
| Practice Fax Number | 2487843743 |
| Mailing Telephone | 8777843667 |
| Mailing Fax Number | 2487843743 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2019-09-10 |
| Authorized Official Name | ROBERT R JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 8777843667 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBS | 140F329410 | 01 |
| BCBS | 140F329410 | 01 |
| Other Name | Type Code |
|---|---|
| Michigan Head and Spine Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952790925 | University Neurosurgical Associates PC | Neurological Surgery | 44199 Dequindre Rd, Area C Ste 518, Troy, MI 48085-1128 | 2015-01-14 |
| Street Address |
29275 NORTHWESTERN HWY STE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278698 | David W Haber | Anesthesiology | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2005-07-13 |
| 1184173858 | Michael Dennis Staudt | Neurological Surgery | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2016-09-23 |
| 1720471428 | Roger Cato Jr. | Physical Therapist | 29275 Northwestern Hwy, Suite 100, Southfield, MI 48034-1044 | 2015-03-05 |
| 1386050979 | Shoshana Dahlia Richelson | Audiologist | 29275 Northwestern Hwy, Suite 208, Southfield, MI 48034-1044 | 2014-07-03 |
| 1609138841 | Ratnesh Nandan Mehra | Neurological Surgery | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2012-06-13 |
| 1861794000 | Chiu Yuen To | Family Medicine | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2010-11-19 |
| 1912215237 | Anne Goldman | Occupational Therapist | 29275 Northwestern Hwy, Suite 150, Southfield, MI 48034-1044 | 2010-09-21 |
| 1780995001 | Ahmad Muhammad Thabet Ahmad | Psychiatry & Neurology | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2010-07-01 |
| 1417287517 | Daniel K Fahim | Neurological Surgery | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034-0000 | 2010-01-12 |
| 1821240615 | Natalia V Glisky | Physical Medicine & Rehabilitation | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034-1044 | 2008-10-13 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865411 | Yasmeen Global Beauty Group | Specialist | 21701 W 11 Mile Rd Ste 7, Southfield, MI 48076-3713 | 2019-11-11 |
| 1124685789 | Grooming Arts Lounge and Gallery | Specialist | 19520 Dorset St, Southfield, MI 48075-7112 | 2019-05-20 |
| 1376929562 | Michigan Home Physician Service, Pllc | Specialist | 26645 W 12 Mile Road, Suite 109, Southfield, MI 48034-7811 | 2015-08-11 |
| 1366831273 | Destiny Peterson | Specialist | 21415 Civic Center Dr Ste 209, Southfield, MI 48076-3943 | 2015-01-15 |
| 1831517036 | Naomi Darden | Specialist | 25711 Southfield Rd, 206, Southfield, MI 48075-1875 | 2014-04-03 |
| 1295039899 | Wellness Center of Michigan LLC | Specialist | 17336 W 12 Mile Rd Ste 102, Southfield, MI 48076-2113 | 2010-12-23 |
| 1710155627 | Milton Foss Simmons | Specialist | 18658 George Washington Dr, Southfield, MI 48075-2552 | 2008-02-13 |
| 1770632945 | Flora Ann Dean | Specialist | 17330 Northland Park Court, Suite 201, Southfield, MI 48075-4318 | 2007-01-09 |
| 1245324789 | Cristina Torres | Specialist | 24500 Northwestern Highway, Southfield, MI 48075 | 2006-10-02 |
| 1689766065 | Dawit Teklehaimanot | Specialist | Physical Medicine and Rehabilation and Pain Consultant, 17117 West Nine Mile Road Suite 1331, Southfield, MI 48075 | 2006-09-29 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on UNIVERSITY NEUROSURGICAL ASSOCIATES PC.
| 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.