MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC NPI 1003004086

Psychiatry & Neurology (Neurology) in Saginaw, MI

About MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC

Michigan Advanced Neurology Center, Pllc is a provider in Saginaw, MI. The NPI number assigned to this provider is 1003004086. The practitioner's primary taxonomy code is Psychiatry & Neurology (2084N0400X). The provider is registered as an organization and their NPI record was last updated 7 years ago. 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.

NPI1003004086 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMICHIGAN ADVANCED NEUROLOGY CENTER, PLLC
Provider Location Address4705 TOWNE CTR STE. 201 SAGINAW, MI 48604 Additional informationCallout TooltipProvider 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 Address4705 TOWNE CTR STE. 201 SAGINAW, MI 48604 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
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).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. 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.
Other Organization NameMANC Additional informationCallout TooltipProvider other organization name
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. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date10-04-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date06-07-2011 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC
4705 TOWNE CTR
STE. 201
SAGINAW, MI
ZIP 48604
Phone: (989) 799-2770
Fax: (989) 799-2737
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Mailing Address

MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC
4705 TOWNE CTR
STE. 201
SAGINAW, MI
ZIP 48604
Phone: (989) 799-2770
Fax: (989) 799-2737

Primary Taxonomy

Taxonomy Code2084N0400X Additional informationCallout TooltipPrimary 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.
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationNeurology
License No.DM066728
License StateMI
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameMS. LISA MACARTHUR Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOFFICE MANAGER
Authorized Official Phone(989) 799-2770

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
G99891MEDICARE UPIN (02)MI
4695041MEDICAID (05)MI
001MEDICARE PIN (08)MI

Map Location


MICHIGAN ADVANCED NEUROLOGY CENTER, PLLC address is 4705 TOWNE CTR STE. 201 SAGINAW, MI 48604

Other Providers at the same location


The following 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043202948DR. USHA KURUMETY BULUSU M.D.
Individual
Ophthalmology4705 TOWNE CTR SUITE 101
SAGINAW, MI 48604
(989) 791-2020
1063739654ST. MARY'S OF MICHIGAN
Organization
Surgery (Trauma Surgery)4705 TOWNE CTR SUITE 104
SAGINAW, MI 48604
(989) 497-3157
1124012786 LIOUDMILA KINACHTCHOUK M.D.
Individual
Internal Medicine4705 TOWNE CTR SUITE 102
SAGINAW, MI 48604
(989) 790-2984
1134496292 JENNIFER RADEWAHN PA
Individual
Physician Assistant4705 TOWNE CTR STE 102
SAGINAW, MI 48604
(989) 790-2941
1285806471JACOB C. NINAN MD PC
Organization
Internal Medicine (Hematology & Oncology)4705 TOWNE CTR SUITE 204
SAGINAW, MI 48604
(989) 799-6110
1306830963 NIKOLAI KINACHTCHOUK M.D.
Individual
Internal Medicine4705 TOWNE CTR SUITE 102
SAGINAW, MI 48604
(989) 790-2984
1568630952JEFFREY R LEVIN MD PC
Organization
Psychiatry & Neurology (Neurology)4705 TOWNE CTR STE 302
SAGINAW, MI 48604
(989) 249-8001
1639263098DR. WILLIAM JOHN PITTAS D.O.
Individual
Surgery (Plastic and Reconstructive Surgery)4705 TOWNE CTR SUITE 104
SAGINAW, MI 48604
(989) 497-3157
1649597998ST. MARY'S OF MICHIGAN
Organization
Plastic Surgery4705 TOWNE CTR SUITE 104
SAGINAW, MI 48604
(989) 497-3157
1760466346 JORGE PLASENCIA M.D.
Individual
Family Medicine4705 TOWNE CTR SUITE 202
SAGINAW, MI 48604
(989) 791-3401
1851327159DR. DEBASISH MRIDHA M.D.
Individual
Psychiatry & Neurology (Neurology)4705 TOWNE CTR SUITE 201
SAGINAW, MI 48604
(989) 799-2770
1982642898PLASENCIA FAMILY MEDICINE PLLC
Organization
Family Medicine4705 TOWNE CTR SUITE 202
SAGINAW, MI 48604
(989) 791-3401