GREAT LAKES BRAIN AND SPINE SURGERY, PLLC (NPI# 1780056630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780056630 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES BRAIN AND SPINE SURGERY, PLLC |
| Practice Address |
3380 Beecher Road Ste A Flint MI 48532-4853 |
| Mailing Address |
3380 Beecher Road Ste A Flint MI 48532-4737 |
| Practice Telephone | 8107202900 |
| Mailing Telephone | 8108206311 |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2019-01-02 |
| Authorized Official Name | DR. VIVEKANAND PALAVALI (DOCTOR) |
| Authorized Official Telephone | 8108206311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3380 BEECHER ROAD STE A |
| City | FLINT |
| State | MI |
| Zip Code | 48532-4853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881672962 | Vivekanand Palavali | Neurological Surgery | 3380 Beecher Road, Ste A, Flint, MI 48532 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| 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 |
| 1619524709 | Idara John Edem | Neurological Surgery | 4800 S Saginaw St Ste 1800, Flint, MI 48507-2677 | 2019-08-22 |
| 1093260929 | Justine Pearl | Neurological Surgery | 4800 S Saginaw St, Suite 1800, Flint, MI 48507-2677 | 2016-08-21 |
| 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 GREAT LAKES BRAIN AND SPINE SURGERY, PLLC.
| 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.