Daniel Augusten Carr (NPI# 1114285707, PAC ID# 5496045452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROSURGERY.
Nation Provider ID (NPI) | 1114285707 |
PAC ID by PECOS | 5496045452 |
Professional Enrollment ID | I20190515002827 |
Full Name | Daniel Augusten Carr |
Organization Legal Name | MICHIGAN SPINE AND BRAIN SURGEONS, PLLC |
Address |
22250 Providence Dr Suite 601 Southfield MI 48075-6214 |
Phone Number | 2485697745 |
Gender | M |
Medical School | LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT |
Graduation Year | 2012 |
Primary Specialty | NEUROSURGERY |
Group Practice PAC ID | 3375572423 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
230019 | PROVIDENCE HOSP AND MED CTRS |
230254 | CRITTENTON HOSPITAL MEDICAL CENTER |
230151 | BEAUMONT HOSPITAL - FARMINGTON HILLS |
Address | Phone | Organization |
---|---|---|
1135 W University Dr, 310 Ascension Providence Rochester, Rochester Hills, MI 48307-1892 | 2485697745 | MICHIGAN SPINE AND BRAIN SURGEONS, PLLC |
22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 | 2485697745 | MICHIGAN SPINE AND BRAIN SURGEONS, PLLC |
Organization Legal Name | MICHIGAN SPINE AND BRAIN SURGEONS, PLLC |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Prashant Sudhir Kelkar | Neurosurgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Clifford Michael Houseman | Neurosurgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Teck M Soo | Neurosurgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Peter L Bono | Orthopedic Surgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Boyd Richards | Neurosurgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Street Address |
22250 PROVIDENCE DR SUITE 601 |
City | SOUTHFIELD |
State | MI |
Zip | 48075-6214 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jefferey E Michaelson | Orthopedic Surgery | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
Randall J Stein | Physician Assistant | Ascension Providence Hospital | 22250 Providence Dr, Fl 5, Southfield, MI 48075-4825 |
Ralph D Pearlman | Colorectal Surgery (proctology) | 22250 Providence Dr, Suite 702, Southfield, MI 48075-6215 | |
Gurbir Singh | Internal Medicine | Ascension Providence Hospital | 22250 Providence Dr, Suite 301b, Southfield, MI 48075-6211 |
Prashant Sudhir Kelkar | Neurosurgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Jessica L Gelfand | Physician Assistant | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
Ryan Matthew Robertson | Physical Therapy | Porretta Center for Orthopaedic Surgery PC | 22250 Providence Dr, Suite 401, Southfield, MI 48075-6212 |
Randall P Kamlay | Optometry | Northwest Eye Physicians, P.C. | 22250 Providence Dr, Suite 304, Southfield, MI 48075-6211 |
Clifford Michael Houseman | Neurosurgery | Michigan Spine and Brain Surgeons, Pllc | 22250 Providence Dr, Suite 601, Southfield, MI 48075-6214 |
Jennifer Platkus | Nurse Practitioner | Michigan Kidney Consultants, P.C. | 22250 Providence Dr, Suite 406, Southfield, MI 48075-6212 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Phyllis J Yates | Psychologist, Clinical | 3000 Town Ctr, Suite 2575, Southfield, MI 48075-1102 | |
Josephine C Bello | Family Medicine | 25511 Southfield Rd, Suite 118, Southfield, MI 48075-1830 | |
James G Armstrong | Thoracic Surgery | Hamid Sattar Mdpc | 25130 Southfield Rd, Suite 105, Southfield, MI 48075-1900 |
Joanna Qiong Sattar | Nephrology | Ark Multispecialty Physicians Pllc | 25130 Southfield Rd, Suite 230, Southfield, MI 48075-1910 |
Johnny E Robinson | Chiropractic | Robinson Chiropractic and Personal Fitness Center PC | 25130 Southfield Rd, Southfield, MI 48075-1921 |
Yaakov G Zacks | Optometry | 16232 Sherfield Pl, Southfield, MI 48075-2061 | |
Jessica Knopp | Clinical Social Worker | Tender Heart East Inc | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Amanda N Scott | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Joseph A Reilly | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Laura L Williams | Clinical Social Worker | Tender Heart LLC | 15700 W 10 Mile Rd, Suite 106, Southfield, MI 48075-2100 |
Find all physicians in zip 48075 |
City | SOUTHFIELD |
Zip Code | 48075 |
Specialty | NEUROSURGERY |
City + Specialty | SOUTHFIELD + NEUROSURGERY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.