Michigan Neurology, P.L.L.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

JH012296 Issued in MI

Legal business name

MICHIGAN NEUROLOGY, P.L.L.C.

Practice address

1030 Harrington St
Suite 205
Mount Clemens, MI 48043-2967

Phone

(586) 493-3188

Fax

(586) 493-3191

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Julie Anne-Marie Burnham, D.O.NPI 1336246966

Title

Physician

Phone

(586) 493-3188

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Anne-Marie Burnham, D.O.

  • Neurology Physician
  • Mount Clemens, MI
  • NPI 1336246966
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1689879629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 205",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3188",
            "fax_number": "586-493-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 205",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3188",
            "fax_number": "586-493-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROLOGY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE-MARIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-493-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "JH012296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4461374",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Mattingly, D.O. PC
• Michael J. Kitto, D.O., P.C.
• Michael Sherbin DO PC
• Michael W Tawney DO PC
• Nicholas Joseph Michel, DO
• Michigan Oncology Hematology PLLC
• Michigan Oncology Hematology, PLLC
• Geralynn M Mickiewicz, R.N.
• Midwest Hospitalists
• Dawn Miller, LMSW

• Specialist in Mount Clemens, MI
• Providers in Mount Clemens, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; 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.