Michigan Advanced Neurology Center, PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DM066728 Issued in MI

Legal business name

MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC

Doing business as

Manc

Practice address

4705 Towne Ctr
Ste. 201
Saginaw, MI 48604-2818

Phone

(989) 799-2770

Fax

(989) 799-2737

NPI assigned

Oct 4, 2007

Last updated

Sep 25, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Lisa Macarthur

Title

Office Manager

Phone

(989) 799-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MANC Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debasish Mridha, M.D.

  • Neurology Physician
  • Saginaw, MI
  • NPI 1851327159
  Medicare reassignment NPD
• Umeshkumar Arvindlal Badami, MD

  • Interventional Cardiology Physician
  • Saginaw, MI
  • NPI 1477549087
  NPD (past)
• Chalapathirao V Gudipati, MD

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1215908678
  NPD (past)
• Kondaramvalappil K Ravindran, MD

  • Cardiovascular Disease Physician
  • Saginaw, MI
  • NPI 1790771319
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1003004086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CTR",
            "address_2": "STE. 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-799-2770",
            "fax_number": "989-799-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 TOWNE CTR",
            "address_2": "STE. 201",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042818",
            "telephone_number": "989-799-2770",
            "fax_number": "989-799-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MACARTHUR",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-799-2770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "DM066728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4695041",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mallerey L. Michaels, MSW, LMSW, ACSW
• Donna Lynn Michailo, OTR/L
• Michael Vincent Michalak, P.A.
• Jami Lynn Michels
• Ryan David Michelson, D.D.S.
• Michigan Cardiovascular Institute, PC
• Michigan Clinic Neurosurgery PLLC
• Michigan Comprehensive Professional Counseling Services PC
• Michigan Core Care LLC
• Michigan Dental Professionals, PLLC

• Neurology Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.