University Neurosurgical Associates, PC
Organization Active NPI Neurological Surgery Physician · Trenton, MI
NPI 1497379671 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1497379671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- UNIVERSITY NEUROSURGICAL ASSOCIATES, PC
- Practice address
- 5400 Fort St Ste 200
Trenton, MI 48183-4636 - Phone
- (877) 784-3667
- NPI assigned
- Jun 3, 2020
- Organization subpart
- No
Authorized official
- Name
- Robert R Johnson, MD
- Title
- President
- Phone
- (248) 784-3667
Other NPIs on the same Medicare enrollment 10
Corporate family (same tax ID) 14
Practitioners 73
-
Wendy Sue Champoux, PA-C
-
David Louis Crowley, P.T.
-
Lisa Deconinck, MPT
-
Fernando Diaz, MD
-
Christopher Elia, D.O.
-
Pouya Entezami, M.D.
-
Daniel K Fahim, MD
-
Robert P Farhat, DO
-
Elizabeth Francek, RN NP
-
Alexandra Fretter, PA-C
-
Holly S Gilmer, MD
-
Natalia V Glisky, MD
-
Nicole Gordon, PT
-
Hope M Gregory, FNP
-
David W Haber, D.O.
-
Brandon Robert Helchowski, MSN, NP-C
-
Justin Hugelier, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050127000624 | MI | Part B Supplier - Clinic/Group Practice | 9739139759 |
Receives reassigned benefits from 74 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Southfield, MI; Ypsilanti, MI; Waterford, MI; Walled Lake, MI; Troy, MI; Trenton, MI; Royal Oak, MI; Pontiac, MI… |
National Provider Directory
- Tax ID family
- University Neurosurgical Associates
Locations
15670 Southfield Rd
Allen Park, MI 48101
Phone (248) 583-8922
4201 Saint Antoine St
Ste 6E
Detroit, MI 48201
Phone (248) 686-4390
22151 Moross Rd
Ste 306
Detroit, MI 48236
25500 Meadowbrook Rd
Ste 235
Novi, MI 48375
3577 W 13 Mile Rd
Ste 206
Royal Oak, MI 48073
Phone (248) 551-7837
3535 W 13 Mile Rd
Ste 444
Royal Oak, MI 48073
Phone (248) 440-2162
28800 Ryan Rd
Ste 200
Warren, MI 48092
Phone (586) 558-1110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes |
Addresses
Primary practice location
5400 Fort St Ste 200
Trenton, MI 48183-4636
Mailing address
25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880
Phone (248) 784-3667
Other names
- Michigan Head and Spine Institute
Other providers in Trenton, MI
- Triage Medical Supplies LLC
- Tru Dental Michigan PC
- Adam Turner
- Alisa Turner
- Shanara Turner
- Nicole Anne Urbanick
- Bradley John Urquhart
- Thomas Duane Van Acker
- Marcia Lynne Vanderbroek
- Kimberly May Vaughn
All providers in Trenton, MI · Neurological Surgery Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.