NEUROLOGY AND PAIN INSTITUTE PLLC (NPI# 1811300155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811300155 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY AND PAIN INSTITUTE PLLC |
| Practice Address |
1201 Stone St Suite 6 Port Huron MI 48060-3563 |
| Mailing Address |
Po Box 3837 Carol Stream IL 60132-3837 |
| Practice Telephone | 2146155168 |
| Practice Fax Number | 8885269542 |
| Mailing Telephone | 2146155168 |
| Mailing Fax Number | 8885269542 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |
| Authorized Official Name | MELANIE GROSS (VP OF REVENUE CYCLE) |
| Authorized Official Telephone | 2146155168 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
1201 STONE ST SUITE 6 |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538153176 | Riad Robert Hajjar | Internal Medicine | 1201 Stone St, Ste. 5, Port Huron, MI 48060-3563 | 2005-09-09 |
| 1003325598 | Salwa Wadud Choudhury | Physician Assistant | 1201 Stone St, Suite #3, Port Huron, MI 48060 | 2017-09-27 |
| 1275991341 | Jason Go | Acupuncturist | 1201 Stone St, Suite 3, Port Huron, MI 48060-3563 | 2016-02-04 |
| 1619361870 | Janette C. Guertin | Nurse Practitioner | 1201 Stone St, Port Huron, MI 48060-3563 | 2015-03-26 |
| 1720413115 | Rafia Khalil Arthritis & Rheumatology Center PC | Specialist | 1201 Stone St, Suite 3, Port Huron, MI 48060-3563 | 2013-09-04 |
| 1578819850 | Mawan Shuayto Md PC | Radiology | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 | 2012-07-24 |
| 1346506391 | Diane Marie Schunk | Nurse Practitioner | 1201 Stone St, Ste 8, Port Huron, MI 48060-3563 | 2012-04-04 |
| 1053689695 | Elizabeth May Helmreich | Nurse Practitioner | 1201 Stone St, Suite 5, Port Huron, MI 48060-3563 | 2011-12-11 |
| 1164620753 | Riad R. Hajjar Md PC | Internal Medicine | 1201 Stone St, Ste 5, Port Huron, MI 48060-3563 | 2007-07-05 |
| 1689879660 | Syed A S Makki | Psychiatry & Neurology | 1201 Stone St, Suite 4, Port Huron, MI 48060-3563 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982912002 | Mostafa S Sadry Md PC | Psychiatry & Neurology | 2603 Electric Ave, Suite 2, Port Huron, MI 48060-6588 | 2010-09-23 |
| 1841383924 | Marwan Ibrahim Shuayto | Psychiatry & Neurology | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 | 2006-10-02 |
| 1225133929 | Mostafa Seled Sadry | Psychiatry & Neurology | 2603 Electric Ave, Ste 2, Port Huron, MI 48060 | 2006-09-14 |
| 1285600296 | Demian Ibrahim Naguib | Psychiatry & Neurology | 1117 Stone St, Suite 1, Port Huron, MI 48060-3525 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
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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.