MICHIGAN BRAIN & SPINE INSTITUTE, PC (NPI# 1760521298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760521298 |
| Entity Type | Organization |
| Organization Name | MICHIGAN BRAIN & SPINE INSTITUTE, PC |
| Other Organization Name | ANN ARBOR SPINE CENTER |
| Practice Address |
5315 Elliott Dr Suite 102 Ypsilanti MI 48197-8634 |
| Practice Telephone | 7344344110 |
| Practice Fax Number | 7345280987 |
| Mailing Telephone | 7344344110 |
| Mailing Fax Number | 7345280987 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2017-10-13 |
| Authorized Official Name | KELLEY MACKINNON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7344344110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Ann Arbor Spine Center | Doing Business As Name - Organization |
| Street Address |
5315 ELLIOTT DR SUITE 102 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760483010 | Robert A Young | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2005-08-09 |
| 1710492756 | St Joseph Mercy Hospital | Clinic/Center | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-12-13 |
| 1578075420 | Christopher Hagedon | Physical Therapist | 5315 Elliott Dr, Ypsilanti, MI 48197-8634 | 2017-11-01 |
| 1245771583 | Catherine Mcauley Health Services Corp | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2017-03-20 |
| 1447629662 | Johnathan Ogar | Physician Assistant | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2015-09-17 |
| 1992109904 | Iha Health Services Corp. | Orthopaedic Surgery | 5315 Elliott Dr, Suite 202, Ypsilanti, MI 48197-8634 | 2014-10-20 |
| 1225467814 | Chelsea Professional Services | Orthopaedic Surgery | 5315 Elliott Dr, Suite 301, Ypsilanti, MI 48197-8634 | 2013-11-05 |
| 1801223607 | Saline Medical Office | Orthopaedic Surgery | 5315 Elliott Dr, Suite 304, Ypsilanti, MI 48197-8634 | 2013-10-11 |
| 1003189648 | Kurt J Hiester | Physician Assistant | 5315 Elliott Dr, Ste 102, Ypsilanti, MI 48197-8634 | 2012-02-13 |
| 1316245343 | Great Lakes Prosthetics and Busch Daniel J Member | Prosthetic/Orthotic Supplier | 5315 Elliott Dr, Suite 104, Ypsilanti, MI 48197-8634 | 2011-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| 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 |
|---|---|---|---|---|
| 1700310802 | Larrissa Carlton | Specialist | 31 S Mansfield St, Ypsilanti, MI 48197-4508 | 2017-04-14 |
| 1598795338 | Alma Marie Davenport | Specialist | 882 S Grove St Uppr Units, Ypsilanti, MI 48198-6344 | 2006-07-04 |
| 1881663367 | Bradley L Hubbard | Specialist | 5325 Elliott Drive, Ypsilanti, MI 48197 | 2006-03-16 |
| 1871569202 | Mohammad I Azimi | Specialist | 317 Ecorse Rd, Suite # 9, Ypsilanti, MI 48198-5787 | 2006-02-25 |
| 1245771583 | Catherine Mcauley Health Services Corp | Specialist | 5315 Elliott Dr, Suite 102, Ypsilanti, MI 48197-8634 | 2017-03-20 |
| 1245656529 | Elizabeth Buckmaster | Specialist | 1055 Cornell Rd, Ypsilanti, MI 48197-1657 | 2014-03-11 |
| 1295085967 | Sowmya Angusamy | Specialist | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2012-09-10 |
| 1992875264 | Michael Henry Otto | Specialist | 5333 Mcauley Dr, Ste 6109, Ypsilanti, MI 48197-0000 | 2006-11-08 |
| 1861562134 | David Katz | Specialist | 5333 Mcauley Dr, R-3106, Ypsilanti, MI 48197-1014 | 2006-11-08 |
| 1841383650 | Jawad Yousef Agha, M.d., P.l.l.c. | Specialist | 5301 Mcauley Dr, Ypsilanti, MI 48197-1051 | 2006-10-02 |
| Find all providers in YPSILANTI | ||||
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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.