Organization Active NPI

Flint Neurological Centre PC

  • Specialist
  • Flint, MI
National Provider Identifier
1952402612
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
FLINT NEUROLOGICAL CENTRE PC
Practice address
5082 Villa Linde Pkwy
Flint, MI 48532-3411
Phone
(810) 720-1335
Fax
(810) 720-1373
NPI assigned
Sep 26, 2006
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Nael M Tarakji, MD
Title
President
Phone
(810) 720-1335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MI Primary

Addresses

Primary practice location

5082 Villa Linde Pkwy
Flint, MI 48532-3411

Mailing address

5082 Villa Linde Pkwy
Flint, MI 48532-3411
Phone (810) 720-1335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051031000046 MI Part B Supplier - Clinic/Group Practice 1759308620 Receives reassigned benefits from 7 practitioners
Practice locations: Flint, MI

National Provider Directory

National Provider Directory

Locations

5082 Villa Linde Pkwy
Flint, MI 48532
Phone (810) 720-1335

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1952402612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5082 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323411",
            "telephone_number": "810-720-1335",
            "fax_number": "810-720-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5082 VILLA LINDE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323411",
            "telephone_number": "810-720-1335",
            "fax_number": "810-720-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLINT NEUROLOGICAL CENTRE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "TARAKJI",
        "authorized_official_first_name": "NAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-720-1335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.