Michigan Spine and Brain Institute PC

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

4301059376 Issued in MI

Legal business name

MICHIGAN SPINE AND BRAIN INSTITUTE PC

Doing business as

Adams Neurosurgery

Practice address

5400 Mackinaw Rd
Suite 2300
Saginaw, MI 48604-9515

Phone

(989) 753-4000

Fax

(989) 754-4000

NPI assigned

Oct 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark S Adams, M.D.NPI 1427090448

Title

President/Owner

Phone

(989) 753-4000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Adams Neurosurgery Doing business as

Medicare fee-for-service enrollment

Enrolled in MI2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Adams, M.D

  • Clinical Genetics (M.D.) Physician
  • Saginaw, MI
  • NPI 1427090448
  Medicare reassignment Care Compare group Authorized official
• Evan Daniel McCann, PA-C

  • Physician Assistant
  • Saginaw, MI
  • NPI 1841773371
  Medicare reassignment Care Compare group NPD
• Timothy C Risnes, PA-C

  • Physician Assistant
  • Midland, MI
  • NPI 1285004424
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1124353727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "SUITE 2300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-753-4000",
            "fax_number": "989-754-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 MACKINAW RD",
            "address_2": "SUITE 2300",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049515",
            "telephone_number": "989-753-4000",
            "fax_number": "989-754-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SPINE AND BRAIN INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "989-753-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "MI",
            "license": "4301059376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6690490001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4647680",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Genetics (M.D.) Physician in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Clinical Genetics (M.D.) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.