FREDERICK MICHAEL VINCENT SR. (NPI# 1730236639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730236639 |
| Entity Type | Individual |
| Full Name | FREDERICK MICHAEL VINCENT SR. |
| Credential | M.D. |
| Practice Address |
250 E Saginaw St East Lansing MI 48823-2740 |
| Practice Telephone | 5173373080 |
| Practice Fax Number | 5173373082 |
| Mailing Telephone | 5173373080 |
| Mailing Fax Number | 5173373082 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301035133 | MI | Allopathic & Osteopathic Physicians |
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
4301035133 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1687260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255611984 | Frederick Curtis Vincent Jr. | Pharmacist | 9268 Chamberlayne Rd, Mechanicsville, VA 23116-2806 | 2011-08-25 |
| 1669658282 | Frederick Joseph Pierre Vincent | Neurological Surgery | 9155 Sw Barnes Rd, Suite 440, Portland, OR 97225-6625 | 2008-01-14 |
| Street Address |
250 E SAGINAW ST |
| City | EAST LANSING |
| State | MI |
| Zip Code | 48823-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818766 | Michael T Wheeler | Physical Medicine & Rehabilitation | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2005-08-12 |
| 1104452432 | Annette Richard | Occupational Therapist | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2020-03-18 |
| 1124583869 | Compass Healthcare Plc | Pain Medicine | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2019-02-06 |
| 1477028181 | Julie Stevens | Massage Therapist | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2018-10-09 |
| 1861910135 | Jacob Robert Lippert | Physical Therapist | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2017-09-06 |
| 1407201411 | Laura Mitchell | Massage Therapist | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2016-04-27 |
| 1104284009 | Michael D Shaheen | Chiropractor | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2016-02-05 |
| 1487092730 | Jenna M Bergeron | Physical Therapist | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2013-06-10 |
| 1063723385 | April Ann Toivonen | Speech-Language Pathologist | 250 E Saginaw St, East Lansing, East Lansing, MI 48823-2740 | 2010-07-01 |
| 1518286111 | Nicole Marie Thelen | Occupational Therapist | 250 E Saginaw St, East Lansing, MI 48823-2740 | 2010-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848631 | Joseph Santangelo | Technician | 2775 E Lansing Dr, East Lansing, MI 48823 | 2020-07-10 |
| 1679197701 | Alexandra Megan Bauer | Technician | 3839 Hunsaker Street, 121, East Lansing, MI 48823 | 2020-06-04 |
| 1689297756 | Nathan Barnhurst | Neuromusculoskeletal Medicine & OMM | 4660 Hagadorn Rd #500, East Lansing, MI 48823 | 2020-05-25 |
| 1861036006 | Rachel Amber Kelly | Registered Nurse | 221 W Lake Rd, #300, East Lansing, MI 48823 | 2019-10-31 |
| 1982176442 | Thomas Patrick Lilley | Occupational Therapist | 2900 Hannah Blvd. - Suite B102, East Lansing, MI 48823 | 2018-12-21 |
| 1386114684 | Anne Colleen Jack | Social Worker | 3100 West Road, East Lansing, MI 48823 | 2018-11-29 |
| 1346721420 | Mary Ann Malosh | Health Educator | 6265 Fenwick Ct, East Lansing, MI 48823 | 2018-08-27 |
| 1639668734 | Jennifer Lynn Box | Occupational Therapist | 2900 Hannah Blvd Ste. B102, Outpatient Rehab, East Lansing, MI 48823 | 2018-05-03 |
| 1598267288 | Wise Willow Counseling & Consulting LLC | Social Worker | 2875 Northwind Dr Ste 215, East Lansing, MI 48823 | 2018-03-08 |
| 1184142010 | Carlrianna Taylor | Technician | 2775 E Lansing Rd, E Lansing, MI 48823 | 2017-08-30 |
| Find all providers in zip 48823 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598016149 | Ivo Drury | Psychiatry & Neurology | 2070 Hollow Oak Dr, Ann Arbor, MI 48103-8402 | 2012-09-23 |
| 1396071684 | Michigan Spinal Rehabilitation Clinics Pllc | Psychiatry & Neurology | 2401 W. Genesee Street, Suite A, Lapeer, MI 48446 | 2009-10-22 |
| 1265478671 | Karim Mousa Fram | Psychiatry & Neurology | 237 Davis Lake Rd, Suite B, Lapeer, MI 48446-1466 | 2006-06-22 |
| 1174597991 | Carey M Vigor Md PC | Psychiatry & Neurology | 2725 Packard Rd, # 101, Ann Arbor, MI 48108-3443 | 2006-02-16 |
| 1144855131 | Hasan & Hasan Neurology Group PC | Psychiatry & Neurology | 237 Davis Lake Rd Ste D, Lapeer, MI 48446-1485 | 2020-03-10 |
| 1053849810 | Hien Luu | Psychiatry & Neurology | 2750 E Beltline Ave Ne, Grand Rapids, MI 49525-8614 | 2017-05-24 |
| 1609238674 | Satyamurthy Kotamraju Md PC | Psychiatry & Neurology | 11457 Shoemaker St, Detroit, MI 48213-3418 | 2016-03-28 |
| 1578941225 | Jian Xu | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2015-05-14 |
| 1942555727 | Tammam Dayyoub | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2012-07-18 |
| 1922242635 | Sadia Najamuddin | Psychiatry & Neurology | 2799 W Grand Blvd, Detroit, MI 48202-2608 | 2009-04-24 |
| Find all providers with the same taxonomy | ||||
| City | EAST LANSING |
| Zip Code | 48823 |
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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.