Jagannathan Neurosurgical Institute PLLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301095038 Issued in MI

Legal business name

JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC

Practice address

2333 Progress St
West Branch, MI 48661-9384

Phone

(989) 343-3178

Fax

(989) 343-3293

NPI assigned

Nov 24, 2015

Last updated

Dec 5, 2024By 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

Dr. Jayant Jagannathan, M.D.NPI 1558578708

Title

President

Phone

(989) 343-3178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Mt Pleasant, MI
  • NPI 1093521080

  9638317373

  Same PAC ID
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Bay City, MI
  • NPI 1154969004

  9638317373

  Same PAC ID
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Troy, MI
  • NPI 1356680912

  9638317373

  Same PAC ID
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Sault Sainte Marie, MI
  • NPI 1447615026

  9638317373

  Same PAC ID

Tax ID family

Jagannathan Neurosurgical Institute PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Bay City, MI
  • NPI 1154969004
  NPD tax ID
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Sault Sainte Marie, MI
  • NPI 1447615026
  NPD tax ID

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.

• Jayant Jagannathan, MD

  • Neurological Surgery Physician
  • Troy, MI
  • NPI 1558578708
  NPD (past) Authorized official

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1326412628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 771749",
            "address_2": "PO BOX 77000",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482771749",
            "telephone_number": "989-343-3178",
            "fax_number": "989-343-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619384",
            "telephone_number": "989-343-3178",
            "fax_number": "989-343-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAGANNATHAN NEUROSURGICAL INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "JAGANNATHAN",
        "authorized_official_first_name": "JAYANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-343-3178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301095038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Illig
• In Home Health LLC (Heartland Home Care and Hospice)
• In Home Health, LLC (ProMedica Hospice (West Branch))
• Innovative Technologies, Inc. (Wound Kair Management)
• J.M.T. Counseling Services
• James Tambs DO PC
• Lisa Marie James, PT, DPT
• Carrie Jameson
• Mandhir Jamwal, M.D.
• Carol Jansen, LBSW

• Neurological Surgery Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.