Active NPI
Edmund Loranger Neumaier, RN NP-C
- Adult Health Nurse Practitioner
- Saint Clair Shores, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704213885
- Practice address
- 21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242 - Phone
- (586) 800-1001
- Fax
- (586) 800-1002
- NPI assigned
- Oct 24, 2017
- Last updated
- Apr 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704213885 | MI | Primary |
Addresses
Primary practice location
21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242
Mailing address
21600 Harper Ave Ste 100
Saint Clair Shores, MI 48080-2242
Phone (586) 800-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
19916 Rosedale St
Saint Clair Shores, MI 48080-4222
424 Church St
Nashville, TN 37219-2301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix Medical Plus | Current | Accepting new patients | |
| Michigan Neurology Associates, P.C. | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Michigan Neurology Associates PC | Current | Accepting new patients | |
| Michael G. Taylor,M.D.P.L.C. | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
34025 Harper Ave
Clinton Twp, MI 48035
Phone (586) 445-9900
400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582
468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000
22646 E 9 Mile Rd
Ste C
Saint Clair Shores, MI 48080
Phone (586) 443-5400
19699 E 8 Mile Rd
St Clr Shores, MI 48080
Phone (586) 445-9900
1690 Woodlands Dr
Ste 200
Maumee, OH 43537
Phone (419) 491-0420
424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721
250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurology Physician
- Saint Clair Shores, MI
- NPI 1861498362
-
dba Matrix Medical Network
- Nurse Practitioner
- Nashville, TN
- NPI 1619368842
OH
-
- Specialist
- Saint Clair Shores, MI
- NPI 1902070014
-
- Ambulatory Surgical Clinic/Center
- Clinton TWP, MI
- NPI 1518247295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1942711452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21600 HARPER AVE STE 100",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802242",
"telephone_number": "586-800-1001",
"fax_number": "586-800-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21600 HARPER AVE STE 100",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802242",
"telephone_number": "586-800-1001",
"fax_number": "586-800-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUMAIER",
"first_name": "EDMUND",
"middle_name": "LORANGER",
"credential": "RN NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-24",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704213885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.