Michigan Neurology Associates DME

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

5101008571 Issued in MI

Legal business name

MICHIGAN NEUROLOGY ASSOCIATES DME

Practice address

34025 Harper Ave
Clinton TWP, MI 48035-3737

Phone

(586) 445-9900

NPI assigned

Nov 18, 2008

Organization subpart

Yes

Parent organization

MICHIGAN NEUROLOGY ASSOCIATES, PCAs reported in NPPES

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

Authorized official

Name

Thomas Giancarlo, DO

Title

President, Mna

Phone

(586) 445-9900

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Michigan Neurology Associates Opt5 organizations share this tax ID, including this one

Part of

Michigan Neurology Associates Opt

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Michigan Neurology Associates DME

  • Durable Medical Equipment & Medical Supplies
  • Utica, MI
  • NPI 1366895559
  NPD tax ID
• Michigan Neurology Associates DME

  • Durable Medical Equipment & Medical Supplies
  • Saint Clair Shores, MI
  • NPI 1982150371
  NPD tax ID
• Michigan Neurology Associates Opt

  • Physical Therapy Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1265625222
  NPD tax ID
• Michigan Neurology Associates, P.C.

  • Ambulatory Surgical Clinic/Center
  • Clinton TWP, MI
  • NPI 1518247295
  NPD tax ID

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1952556078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34025 HARPER AVE",
            "city": "CLINTON TWP",
            "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 TWP",
            "state": "MI",
            "postal_code": "480353737",
            "telephone_number": "586-445-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN NEUROLOGY ASSOCIATES DME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHIGAN NEUROLOGY ASSOCIATES, PC",
        "enumeration_date": "2008-11-18",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "GIANCARLO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT, MNA",
        "authorized_official_telephone_number": "586-445-9900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "5101008571",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MI",
            "license": "5101008581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "540E007730",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mich Neuro Diagnostics PC (Michigan Neuro)
• Michael a Wagner PLLC
• Michael E. Simony D.D.S.P.C.
• Michael F Wind DO PC
• Michael J. Ramos DDS & Erik P. Feinauer DDS P.L.L.C.
• Michigan Neurology Associates, P.C.
• Michigan Ophthalmology Specialists, PLLC
• Julie G Middlin, AT/ATC, CSCS, CES
• Harry C Mighion, DDS
• Bradley Loren Mikon, LLMSW

• Neurology Physician in Clinton TWP, MI
• Providers in Clinton TWP, MI by specialty
• Neurology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.