COMPREHENSIVE CLINICAL NEUROLOGY P.C. (NPI# 1891936977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891936977 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE CLINICAL NEUROLOGY P.C. |
| Practice Address |
23077 Greenfield Rd Ste 222 Southfield MI 48075-3745 |
| Practice Telephone | 2485598737 |
| Practice Fax Number | 2485597283 |
| Mailing Telephone | 2485598737 |
| Mailing Fax Number | 2485597283 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2010-03-16 |
| Authorized Official Name | DAVID LEE GASTON (PRESIDENT) |
| Authorized Official Telephone | 2485598737 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DG050339 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | RAILROAD MEDICARE | DP8335 | 01 |
| Street Address |
23077 GREENFIELD RD STE 222 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-3745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215439674 | Glory Health, LLC | Psychiatry & Neurology | 23077 Greenfield Rd Ste 222, Southfield, MI 48075-3745 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| 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 |
|---|---|---|---|---|
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1730246737 | Evolving Evolutions LLC | Psychiatry & Neurology | 29201 Telegraph Rd Ste 240, Southfield, MI 48034-7645 | 2007-01-02 |
| 1427153915 | Steven Edward Newman | Psychiatry & Neurology | 25811 W. 12 Mile Rd, Southfield, MI 48034 | 2006-09-13 |
| 1194703207 | Nancy Jingyang Cao | Psychiatry & Neurology | 25865 W 12 Mile Rd Ste D110, Southfield, MI 48034-1817 | 2006-01-09 |
| 1932181989 | Rashmi Gupta | Psychiatry & Neurology | 29592 Northwestern Hwy, Southfield, MI 48034-1019 | 2005-11-16 |
| 1548269897 | Tessy C Jenkins | Psychiatry & Neurology | 27200 Lahser Rd, Suite 100, Southfield, MI 48034 | 2005-07-19 |
| 1316944275 | Leonard Sahn | Psychiatry & Neurology | 25330 Telegraph Rd, Suite 340, Southfield, MI 48034-7454 | 2005-07-06 |
| 1366445173 | Lawrence Mark Eilender | Psychiatry & Neurology | 26400 W 12 Mile Rd, Ste 170, Southfield, MI 48034-1753 | 2005-05-24 |
| 1609489988 | Vivid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2020-08-26 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.