REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE
NPI 1003069139
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Grand Blanc, MI

Active since November 03, 2008
4642 GENESYS PARKWAY, GRAND BLANC, MI 48439(810) 606-5830 Get Directions Write a Review

NPPES record last updated: November 3, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...

About REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE

This page provides the complete NPI Profile along with additional information for Regents Of The University Of Michigan-pediatric Surgery Offsite, a provider established in Grand Blanc, Michigan operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1003069139 assigned on November 2008. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Regents Of The University Of Michigan-pediatric Surgery Offsite operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David A Spahlinger Md (Exec Medical Director Faculty Grp)

NPI
1003069139 Verify this NPI
Provider Name
REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE
Entity Type
Organization
Location Address
4642 GENESYS PARKWAY GRAND BLANC, MI 48439
Location Phone
(810) 606-5830
Mailing Address
3621 S STATE ST 700 KMS PLACE ANN ARBOR, MI 48108
Mailing Phone
(734) 936-2047
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-03-2008
Last Update Date
11-03-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
22084P2900XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Pain Medicine

 
32084S0010XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Sports Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID A SPAHLINGER MD

Authorized Official Title
EXEC MEDICAL DIRECTOR FACULTY GRP
Authorized Official Phone
(734) 936-3568

Reviews for REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Cardiology)
4642 GENESYS PARKWAY
GRAND BLAC, MI 48439
Pediatrics (Pediatric Endocrinology)
4642 GENESYS PARKWAY
GRAND BLANC, MI 48439
Pediatrics (Pediatric Gastroenterology)
4642 GENESYS PARKWAY
GRAND BLANC, MI 48439
Pediatrics (Pediatric Pulmonology)
4642 GENESYS PARKWAY
GRAND BLANC, MI 48439
Pediatrics (Pediatric Pulmonology)
4642 GENESYS PARKWAY
GRAND BLANC, MI 48439

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003069139, enumerated as an "organization" on November 03, 2008.

The provider is located at 4642 GENESYS PARKWAY GRAND BLANC, MI 48439 and the phone number is (810) 606-5830.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.