Michigan Neurology Associates

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

4301105998 Issued in MI

Legal business name

MICHIGAN NEUROLOGY ASSOCIATES

Practice address

34025 Harper Ave
Clinton Township, MI 48035-3737

Phone

(586) 445-9900

Fax

(586) 464-2231

NPI assigned

Jan 20, 2015

Organization subpart

No

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

Authorized official

Name

Thomas Giancarlo

Title

President

Phone

(586) 445-9900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1629467204",
    "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"
        },
        {
            "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": "480353737",
            "telephone_number": "586-445-9900",
            "fax_number": "586-464-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "GIANCARLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-445-9900"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "4301105998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michigan Center for Dermatology & Pathology, PLLC
• Michigan Foot & Ankle Institute PC
• Michigan Hospital Physicians, PC
• Michigan MSK Medicine PLLC
• Michigan Neuro Diagnostics PC
• Michigan Physical Medicine and Rehabilitation, P.C.
• Michigan Physical Therapy
• Michigan Rehab Consultant PC
• Michigan Surgical Group
• Michigan Urgent Care

• Health Maintenance Organization in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.