MANC (MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC) NPI 1003004086
Psychiatry & Neurology (Neurology) in Saginaw, MI
About MANC (MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC)
Manc (michigan Advanced Neurology Center, Pllc) is a provider established in Saginaw, Michigan specializing in psychiatry & neurology (neurology) . The NPI number of Manc (michigan Advanced Neurology Center, Pllc) is 1003004086 and was assigned on October 2007. The practitioner's primary taxonomy code is 2084N0400X with license number DM066728 (MI). The provider is registered as an organization and their NPI record was last updated one year ago. Manc (michigan Advanced Neurology Center, Pllc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Manc. The authorized official of this NPI record is Ms. Lisa Macarthur (Office Manager)
| NPI | 1003004086 |
| Provider Name | MANC (MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC) |
| Provider Location Address | 4705 TOWNE CTR STE. 201 SAGINAW, MI 48604 |
| Provider Mailing Address | 4705 TOWNE CTR STE. 201 SAGINAW, MI 48604 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Other Organization Name | MANC |
| Other Name Type | Doing Business As (3) |
| Enumeration Date | 10-04-2007 |
| Last Update Date | 09-25-2020 |
Primary Taxonomy
| Taxonomy Code | 2084N0400X |
| Classification | Psychiatry & Neurology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Neurology |
| License No. | DM066728 |
| License State | MI |
| Taxonomy Description | A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Business Address
MANC
4705 TOWNE CTR
STE. 201
SAGINAW, MI
ZIP 48604
Phone: (989) 799-2770
Fax: (989) 799-2737
Mailing Address
MANC
4705 TOWNE CTR
STE. 201
SAGINAW, MI
ZIP 48604
Phone: (989) 799-2770
Fax: (989) 799-2737
Group Taxonomy
193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 4695041 | MEDICAID (05) | MI |
Other Providers at the same location
The following 11 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306830963 | NIKOLAI KINACHTCHOUK M.D. Individual | Internal Medicine | 4705 TOWNE CTR SUITE 102 SAGINAW, MI 48604 (989) 790-2984 |
| 1760466346 | JORGE PLASENCIA M.D. Individual | Family Medicine | 4705 TOWNE CTR SUITE 202 SAGINAW, MI 48604 (989) 791-3401 |
| 1568630952 | JEFFREY R LEVIN MD PC Organization | Psychiatry & Neurology (Neurology) | 4705 TOWNE CTR STE 302 SAGINAW, MI 48604 (989) 249-8001 |
| 1285806471 | JACOB C. NINAN MD PC Organization | Internal Medicine (Hematology & Oncology) | 4705 TOWNE CTR SUITE 204 SAGINAW, MI 48604 (989) 799-6110 |
| 1134496292 | JENNIFER RADEWAHN PA Individual | Physician Assistant | 4705 TOWNE CTR STE 102 SAGINAW, MI 48604 (989) 790-2941 |
| 1124012786 | LIOUDMILA KINACHTCHOUK M.D. Individual | Internal Medicine | 4705 TOWNE CTR SUITE 102 SAGINAW, MI 48604 (989) 790-2984 |
| 1639263098 | DR. WILLIAM JOHN PITTAS D.O. Individual | Surgery (Plastic and Reconstructive Surgery) | 4705 TOWNE CTR SUITE 104 SAGINAW, MI 48604 (989) 497-3157 |
| 1982642898 | PLASENCIA FAMILY MEDICINE PLLC Organization | Family Medicine | 4705 TOWNE CTR SUITE 202 SAGINAW, MI 48604 (989) 791-3401 |
| 1063739654 | ASCENSION ST. MARY'S HOSPITAL Organization | Surgery (Trauma Surgery) | 4705 TOWNE CTR SUITE 104 SAGINAW, MI 48604 (989) 497-3157 |
| 1649597998 | ASCENSION ST. MARY'S HOSPITAL Organization | Plastic Surgery | 4705 TOWNE CTR SUITE 104 SAGINAW, MI 48604 (989) 497-3157 |
| 1851327159 | DR. DEBASISH MRIDHA M.D. Individual | Psychiatry & Neurology (Neurology) | 4705 TOWNE CTR SUITE 201 SAGINAW, MI 48604 (989) 799-2770 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.