Organization Active NPI

Carey M Vigor MD PC

  • Neurology Physician
  • Ann Arbor, MI
National Provider Identifier
1174597991
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
4301039392 Issued in MI
Legal business name
CAREY M VIGOR MD PC
Practice address
2725 Packard Rd
# 101
Ann Arbor, MI 48108-3443
Phone
(586) 615-4323
Fax
(810) 794-1844
NPI assigned
Feb 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. Carey Marie VigorNPI 1124049705
Title
Pres Ceo
Phone
(586) 615-4323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X 4301039392 MI Primary
Clinical Neurophysiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0600X 4301039392 MI
Pain Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208VP0000X 4301039392 MI

Addresses

Primary practice location

2725 Packard Rd
# 101
Ann Arbor, MI 48108-3443

Mailing address

18530 Mack Ave
# 478
Grosse Pointe Farms, MI 48236-3254
Phone (586) 615-4323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000945 MI Part B Supplier - Clinic/Group Practice 9739070020 Receives reassigned benefits from 1 practitioner
Practice locations: Grosse Pointe Woods, MI

National Provider Directory

National Provider Directory

Locations

160 W Carmel Dr
Ste 268
Carmel, IN 46032
Phone (317) 413-9269

1111 E 54th St
Ste 119
Indianapolis, IN 46220
Phone (317) 413-9269

3300 Washtenaw Ave
Ste 260
Ann Arbor, MI 48104
Phone (734) 276-5772

24001 Greater Mack Ave
Ste A
Saint Clair Shores, MI 48080
Phone (248) 872-9454

29700 Harper Ave
Ste 1A
Saint Clair Shores, MI 48082
Phone (810) 986-3224

48639 Hayes Rd
#7
Shelby Township, MI 48315

22811 Greater Mack Ave
Ste L8
St Clr Shores, MI 48080
Phone (586) 771-4606

22811 Mack Ave
Ste 202
St Clr Shores, MI 48080
Phone (586) 443-4402

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1174597991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18530 MACK AVE",
            "address_2": "# 478",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363254",
            "telephone_number": "586-615-4323",
            "fax_number": "810-794-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 PACKARD RD",
            "address_2": "# 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083443",
            "telephone_number": "586-615-4323",
            "fax_number": "810-794-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREY M VIGOR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-16",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "VIGOR",
        "authorized_official_first_name": "CAREY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRES CEO",
        "authorized_official_telephone_number": "586-615-4323",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301039392",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4301039392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.