Active NPI
University Neurosurgical Associates, PC
Doing business as Michigan Head and Spine Institute
- Neurological Surgery Physician
- Clinton TWP, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- UNIVERSITY NEUROSURGICAL ASSOCIATES, PC
- Doing business as
- Michigan Head and Spine Institute
- Practice address
- 43475 Dalcoma Dr Ste 150
Clinton TWP, MI 48038-3594 - Phone
- (248) 784-3667
- Fax
- (248) 784-3678
- NPI assigned
- Nov 3, 2011
- Last updated
- Apr 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Johnson, MD
- Title
- President
- Phone
- (248) 784-3667
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
43475 Dalcoma Dr Ste 150
Clinton TWP, MI 48038-3594
Mailing address
29275 Northwestern Hwy
Ste 100
Southfield, MI 48034-1044
Phone (248) 784-3667
Other names 1
- Michigan Head and Spine Institute
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2020358 | Michigan Head & Spine Institute | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Neurological Surgery Physician
- Southfield, MI
- NPI 1861489452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712534400000",
"number": "1053698191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29275 NORTHWESTERN HWY",
"address_2": "STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341044",
"telephone_number": "248-784-3667",
"fax_number": "248-784-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43475 DALCOMA DR STE 150",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480383594",
"telephone_number": "248-784-3667",
"fax_number": "248-784-3678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY NEUROSURGICAL ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-03",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-784-3667",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Michigan Head and Spine Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clinton TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.