UNIVERSITY NEUROSURGICAL ASSOCIATES (NPI# 1902225857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902225857 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY NEUROSURGICAL ASSOCIATES |
| Other Organization Name | MICHIGAN HEAD AND SPINE INSTITUTE |
| Practice Address |
4014 River Rd Ste 2b East China MI 48054-2916 |
| Mailing Address |
29275 Northwestern Hwy Ste 100 Southfield MI 48034-1044 |
| Practice Telephone | 8777843667 |
| Practice Fax Number | 2488693982 |
| Mailing Telephone | 8777843667 |
| Mailing Fax Number | 2488693982 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | ROBERT R JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 8777843667 |
| 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 |
| Other Name | Type Code |
|---|---|
| Michigan Head and Spine Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528469608 | University Neurosurgical Associates | Neurological Surgery | 25500 Meadowbrook Rd, Ste. 240, Novi, MI 48375-1878 | 2014-09-09 |
| 1831320324 | University Neurosurgical Associates | Physical Medicine & Rehabilitation | 18984 Livernois Ave, Detroit, MI 48221-4210 | 2009-07-31 |
| 1467683953 | University Neurosurgical Associates | Physical Medicine & Rehabilitation | 32500 23 Mile Rd, Chesterfield, MI 48047-1991 | 2009-07-31 |
| 1205983210 | University Neurosurgical Associates | Neurological Surgery | 44200 Woodward Ave, Ste 112, Pontiac, MI 48341 | 2007-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | UNIVERSITY NEUROSURGICAL ASSOCIATES INC | 545 Barnhill Drive, Suite# 139, Indianapolis, IN 46202 |
| Street Address |
4014 RIVER RD STE 2B |
| City | EAST CHINA |
| State | MI |
| Zip Code | 48054-2916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023010360 | Lauri B. Conroy | Internal Medicine | 4014 River Rd, Building 6, East China, MI 48054-2916 | 2005-06-01 |
| 1003367426 | Alan David Berg | Surgery | 4014 River Rd, Building 3b, East China, MI 48054-2916 | 2016-10-20 |
| 1699136218 | Marie Elizabeth Teschler | Nurse Practitioner | 4014 River Rd, East China, MI 48054 | 2016-03-09 |
| 1548433626 | Ascension Medical Group Michigan | Surgery | 4014 River Rd, 3b, East China, MI 48054-2916 | 2008-04-09 |
| 1831186550 | Harold Lee Bacheldor Jr. | Family Medicine | 4014 River Rd, Building 6, East China, MI 48054-2916 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075178 | Melissa Lynn Wilson | Behavior Technician | 5104 King Rd, China, MI 48054 | 2020-02-20 |
| 1427400605 | Morgan Conlon Scallen | Technician, Other | 5494 St. Clair Hwy., China Twp., MI 48054 | 2016-07-12 |
| 1639586910 | Jessica Scholey | Obstetrics & Gynecology | 4150 River Rd., Suite D, East China, MI 48054 | 2014-07-17 |
| 1215075064 | Gordon Carl Charlton | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-02 |
| 1164431060 | Juan J Geldres | Surgery | 40140 S River Rd, Suite 3b, East China, MI 48054 | 2006-08-07 |
| 1861415754 | Thomas Gordon Wayne | Family Medicine | 4150 S River Rd, Ste F1, East China, MI 48054 | 2006-07-25 |
| 1588634620 | Cory D Zieger | Orthopaedic Surgery | 4150 River Rd Ste C, East China, MI 48054 | 2006-01-23 |
| 1831194992 | Kenneth Son | Internal Medicine | 4100 River Rd, Acute Care Dept., East China, MI 48054 | 2005-06-16 |
| 1184055394 | St. Clair Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 4154 S River Rd, East China, MI 48054 | 2013-12-13 |
| 1417091141 | China Township Family Dentistry | Dentist | 5013 St Clair Hwy, China Township, MI 48054 | 2007-02-16 |
| Find all providers in zip 48054 | ||||
| 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 |
|---|---|---|---|---|
| 1861026205 | Clark J Okulski | Neurological Surgery | 15366 Windmill Pointe Dr, Grosse Pointe Park, MI 48230-1744 | 2020-02-25 |
| 1801371380 | Jagannathan Neurosurgical Institute Pllc | Neurological Surgery | 502 W Harrie St Fl 2, Newberry, MI 49868-1209 | 2018-10-01 |
| 1750871745 | Sara Saleh | Neurological Surgery | 1500 E Medical Center Dr Spc 5338, Ann Arbor, MI 48109-5338 | 2018-05-15 |
| 1639608664 | Aaron Rapp | Neurological Surgery | 3601 W 13 Mile Rd Dept, Gme Dept. Neurosurgery, Royal Oak, MI 48073-6712 | 2017-06-04 |
| 1386171775 | Inscribed Pllc | Neurological Surgery | 30400 Telegraph Rd Ste 350, Bingham Farms, MI 48025-5814 | 2017-05-16 |
| 1972956597 | University Neurosurgical Associates, PC | Neurological Surgery | 42450 Hayes Rd, Ste 100, Clinton Twp, MI 48038-6769 | 2016-07-19 |
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1629451901 | Dejan Slavnic | Neurological Surgery | 42758 Georgetown, Novi, MI 48375-1766 | 2015-07-03 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | EAST CHINA |
| Zip Code | 48054 |
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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.