Greater Michigan Spine & Neurologic Institute, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

GREATER MICHIGAN SPINE & NEUROLOGIC INSTITUTE, PC

Practice address

4641 E Pickard St Ste a
Mt Pleasant, MI 48858-2189

Phone

(989) 214-2166

Fax

(989) 214-2163

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Timothy Eugene Spencer, DONPI 1053375758

Title

President

Phone

(989) 214-2166

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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

• Timothy Eugene Spencer Jr., DO

  • Neurological Surgery Physician
  • Battle Creek, MI
  • NPI 1053375758
  Medicare reassignment Authorized official
• Therese Roys, PA-C

  • Physician Assistant
  • Cedar Springs, MI
  • NPI 1255361044
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1750498275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 E PICKARD ST STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582189",
            "telephone_number": "989-214-2166",
            "fax_number": "989-214-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 E PICKARD ST STE A",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582189",
            "telephone_number": "989-214-2166",
            "fax_number": "989-214-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER MICHIGAN SPINE & NEUROLOGIC INSTITUTE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-214-2166",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM GROUP PIN",
            "identifier": "140D120050",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1454111555",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffery Ryan Govitz
• Christine L Gransden, NP
• Great Lakes Medical PC
• Great Lakes Psychological Associates PLLC
• Great Lakes Spine Sports & Pain, PLLC
• Allison Green
• Katelyn Rae Green
• Holli Greenacre, MS
• Sue Greenwood, RN
• Linda Jean Gregg, BSN, RNC, WHNP

• Neurological Surgery Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.