Organization Active NPI

Central Michigan Headache and Neurology PC

  • Neurology Physician
  • Mount Pleasant, MI
National Provider Identifier
1487796371
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CENTRAL MICHIGAN HEADACHE AND NEUROLOGY PC
Practice address
1234 E Broomfield St
Suite 2
Mount Pleasant, MI 48858-4496
Phone
(989) 779-5260
Fax
(989) 779-5264
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Weiguo Zhao, M.D.NPI 1649260134
Title
President
Phone
(989) 779-5260

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1234 E Broomfield St
Suite 2
Mount Pleasant, MI 48858-4496

Mailing address

1234 E Broomfield St
Suite 2
Mount Pleasant, MI 48858-4496
Phone (989) 779-5260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111219000680 MI Part B Supplier - Clinic/Group Practice 2264607316 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Pleasant, MI

National Provider Directory

National Provider Directory

Locations

1234 E Broomfield St
Ste 2
Mt Pleasant, MI 48858
Phone (989) 779-5260

Practitioners & affiliated clinicians

Practitioners 1

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1487796371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 E BROOMFIELD ST",
            "address_2": "SUITE 2",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584496",
            "telephone_number": "989-779-5260",
            "fax_number": "989-779-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 E BROOMFIELD ST",
            "address_2": "SUITE 2",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584496",
            "telephone_number": "989-779-5260",
            "fax_number": "989-779-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MICHIGAN HEADACHE AND NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "WEIGUO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-779-5260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.