Active NPI
West Branch Neruology
- Neurology Physician
- West Branch, MI
National Provider Identifier
1164619763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- DP009646
- Legal business name
- WEST BRANCH NERUOLOGY
- Practice address
- 335 E Houghton Ave
West Branch, MI 48661-1127 - Phone
- (989) 345-4343
- Fax
- (989) 345-4344
- NPI assigned
- Sep 27, 2007
- Last updated
- Sep 27, 2007
- 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
- Toni Lewis
- Title
- Office Manager
- Phone
- (989) 345-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | DP009646 | MI | Primary |
Addresses
Primary practice location
335 E Houghton Ave
West Branch, MI 48661-1127
Mailing address
335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 345-4343
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012243 | Other | HEALTH ADVANTAGE | |
| OP03260001 | Other | MI | MEDICARE PLUS BLUE |
| 1356510065 | Other | MI | BLUE CROSS BLUE SHIELD |
| P00203101 | Other | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190851200000",
"number": "1164619763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486611127",
"telephone_number": "989-345-4343",
"fax_number": "989-345-4344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 E HOUGHTON AVE",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486611127",
"telephone_number": "989-345-4343",
"fax_number": "989-345-4344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST BRANCH NERUOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-27",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "TONI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "989-345-4343"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MI",
"license": "DP009646",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ADVANTAGE",
"identifier": "1012243",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PLUS BLUE",
"identifier": "OP03260001",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1356510065",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00203101",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
- West Branch Chiropractic Center, PC
- West Branch Eyecare P.C. (Lesley Lenahan Finkbeiner)
- West Branch Family Dentistry, PLLC
- West Branch Family Practice PC
- West Branch Geriatric Village, Inc (bortz health care of west branch)
- West Branch Opco, LLC (The Villa at West Branch)
- West Branch Pediatrics
- West Branch Pharmacy LLC
- West Branch Regional Medical Center
- West Branch Surgical Associates, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.