NPIMap

Organization Active NPI

Tri-County Neurological Associates

  • Medical Physician Assistant
  • Clinton TWP, MI
National Provider Identifier
1316349236
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601005798 Issued in MI
Legal business name
TRI-COUNTY NEUROLOGICAL ASSOCIATES
Practice address
39581 Garfield Rd
Clinton TWP, MI 48038-4300
Phone
(586) 286-2770
Fax
(586) 286-9080
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Mrs. Nichole Worthing, PA-C
Title
Physician Assistant
Phone
(586) 286-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 5601005798 MI Primary

Addresses

Primary practice location

39581 Garfield Rd
Clinton TWP, MI 48038-4300

Mailing address

39581 Garfield Rd
Clinton TWP, MI 48038-4300
Phone (586) 286-2770

National Provider Directory

National Provider Directory
Tax ID family
Tri-County Neurological Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1316349236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39581 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384300",
            "telephone_number": "586-286-2770",
            "fax_number": "586-286-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39581 GARFIELD RD",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480384300",
            "telephone_number": "586-286-2770",
            "fax_number": "586-286-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY NEUROLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "WORTHING",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "586-286-2770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.