Elctrodiagnostic Medicine Consultants, PLLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

4301035133 Issued in MI

Legal business name

ELCTRODIAGNOSTIC MEDICINE CONSULTANTS, PLLC

Practice address

1515 Lake Lansing Rd
Suite F-1
Lansing, MI 48912-3753

Phone

(517) 374-1055

Fax

(517) 374-1061

NPI assigned

May 20, 2008

Last updated

May 20, 2008By 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

Frederick Michael Vincent Sr., M.D.NPI 1730236639

Title

Owner/Physician

Phone

(517) 374-1055

Specialties & licenses 1

Addresses

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.

• Frederick Michael Vincent Sr., M.D.

  • Clinical Neurophysiology Physician
  • East Lansing, MI
  • NPI 1730236639
  NPD (past) Authorized official

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1477710135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "SUITE F-1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-374-1055",
            "fax_number": "517-374-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 LAKE LANSING RD",
            "address_2": "SUITE F-1",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123753",
            "telephone_number": "517-374-1055",
            "fax_number": "517-374-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELCTRODIAGNOSTIC MEDICINE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "517-374-1055",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "MI",
            "license": "4301035133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah El Mouatassim Bih, DO
• Nadim El-Hage, MD
• Mahdi Elahi
• Kendall Christopher Elam, PHARMACY TECH
• Ala Elayyan, M.D.
• Megan Eldred
• Angela Christine Elenbaas, PMHNP
• Elevate Counseling and Community Services, LLC
• Victor A Elgabalawi
• Dalia Elgohary

• Clinical Neurophysiology Physician in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Neurophysiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.