NPIMap

Organization Active NPI

Michigan Neurology Associates DME

  • Durable Medical Equipment & Medical Supplies
  • Utica, MI
National Provider Identifier
1366895559
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MICHIGAN NEUROLOGY ASSOCIATES DME
Practice address
11051 Hall Rd
Ste 240
Utica, MI 48317-5735
Phone
(586) 323-9900
Fax
(586) 323-5051
NPI assigned
Jul 22, 2016
Organization subpart
Yes
Parent organization
MICHIGAN NEUROLOGY ASSOCIATES PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Authorized official

Name
Thomas Giancarlo, DO
Title
President, Mna
Phone
(586) 445-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11051 Hall Rd
Ste 240
Utica, MI 48317-5735

Mailing address

34025 Harper Ave
Clinton Township, MI 48035-3737
Phone (586) 445-9900

National Provider Directory

National Provider Directory
Tax ID family
Michigan Neurology Associates Opt5 organizations share this tax ID, including this one
Part of
Michigan Neurology Associates Opt

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469145600000",
    "number": "1366895559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34025 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353737",
            "telephone_number": "586-445-9900",
            "fax_number": "586-445-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11051 HALL RD",
            "address_2": "STE 240",
            "city": "UTICA",
            "state": "MI",
            "postal_code": "483175735",
            "telephone_number": "586-323-9900",
            "fax_number": "586-323-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROLOGY ASSOCIATES DME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN NEUROLOGY ASSOCIATES PC",
        "enumeration_date": "2016-07-22",
        "last_updated": "2016-07-22",
        "status": "A",
        "authorized_official_last_name": "GIANCARLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT, MNA",
        "authorized_official_telephone_number": "586-445-9900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; 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.