Neurosleep Center PLLC

Primary specialty

Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X

License

OT080768 Issued in MI

Legal business name

NEUROSLEEP CENTER PLLC

Practice address

4190 24TH Ave
Suite 210
Fort Gratiot, MI 48059-3882

Phone

(810) 216-1901

Fax

(810) 216-1701

NPI assigned

Sep 1, 2006

Last updated

Jan 11, 2017By 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

Omar A Turk, MDNPI 1407824634

Title

Owner

Phone

(810) 216-1901

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

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.

• Omar A Turk

  • Neurology Physician
  • Fort Gratiot, MI
  • NPI 1407824634

  Sleep Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1114029030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 24TH AVE,",
            "address_2": "STE # 210",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "48059",
            "telephone_number": "810-216-1901",
            "fax_number": "810-216-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 24TH AVE",
            "address_2": "SUITE 210",
            "city": "FORT GRATIOT",
            "state": "MI",
            "postal_code": "480593882",
            "telephone_number": "810-216-1901",
            "fax_number": "810-216-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSLEEP CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "TURK",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-216-1901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "MI",
            "license": "OT080768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4850523",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "270H237980",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nalini Samuel MD PC
• Dev S Nandamudi, M.D.
• Farrukh Zaman Naqvi, M.D.
• Janet Marie Natzke
• Paeton Neil
• Newco Ambulatory Surgery Center, LLP (Lakeshore Surgery Center, LLP)
• Newco Ambulatory Surgery Center, LLP
• Greta Amaris Nichols, LBASW
• Kelsey Elaine Noble
• Michael Gerard Noble, COTA MLD

• Sleep Medicine (Psychiatry & Neurology) Physician in Fort Gratiot, MI
• Providers in Fort Gratiot, MI by specialty
• Sleep Medicine (Psychiatry & Neurology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; 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.