NPIMap

Individual provider Active NPI

George Matthew Dillon, M.D.

  • Vascular Neurology Physician
  • Clinton Township, MI
National Provider Identifier
1598023665
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
4301111179 Issued in MI
Practice address
34025 Harper Ave
Clinton Township, MI 48035
Phone
(586) 445-9900
Fax
(586) 445-2641
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 4301111179 MI Primary

Addresses

Primary practice location

34025 Harper Ave
Clinton Township, MI 48035

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, RI, PA, FL4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170804001168 MI Practitioner - Neurology 7113298415 Reassigns benefits to 2 organizations
I20241204004015 RI Practitioner - Neurology 7113298415 Reassigns benefits to 1 organization
I20250109003144 PA Practitioner - Neurology 7113298415 Reassigns benefits to 1 organization
I20250110000617 FL Practitioner - Neurology 7113298415

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Neurology Associates PCGroup PAC ID 8628987468, 18 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • Surgeons Choice Medical Center Hospital, Southfield, MI, CCN 230301
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301111179MIMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Neurology Associates, P.C. CurrentSince Jul 1, 2017 Accepting new patients
Michigan Neurology Associates PC CurrentSince Jul 1, 2017 Accepting new patients

Locations

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

19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900

11051 Hall Rd
Ste 240
Utica, MI 48317
Phone (586) 295-8885

Interoperability endpoints

  • Direct secure messaging: gdillon1125260@direct.hfhs.org
  • Direct secure messaging: gdillon490268@direct.hfhs.org
  • Direct secure messaging: michiganneurologyassociates.georgedillon@158246.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1598023665",
    "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": "34025 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48035",
            "telephone_number": "586-445-9900",
            "fax_number": "586-445-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "GEORGE",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MI",
            "license": "4301111179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.