REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE (NPI# 1003069139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003069139 |
| Entity Type | Organization |
| Organization Name | REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE |
| Practice Address |
4642 Genesys Parkway Grand Blanc MI 48439-8067 |
| Mailing Address |
3621 S State St 700 Kms Place Ann Arbor MI 48108 |
| Practice Telephone | 8106065830 |
| Mailing Telephone | 7349362047 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DAVID A SPAHLINGER (EXEC MEDICAL DIRECTOR FACULTY GRP) |
| Authorized Official Telephone | 7349363568 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0010X |
Psychiatry & Neurology Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750534871 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1194978213 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1821241951 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1659524908 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blac, MI 48439-8067 | 2008-10-30 |
| Street Address |
4642 GENESYS PARKWAY |
| City | GRAND BLANC |
| State | MI |
| Zip Code | 48439-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538386909 | Genesys Regional Medical Center | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2007-04-19 |
| 1750534871 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1194978213 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| 1821241951 | Regents of The University of Michigan-pediatric Surgery Offsite | Pediatrics | 4642 Genesys Parkway, Grand Blanc, MI 48439-8067 | 2008-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598931 | Fady Essi | Pharmacist | 6160 S Saginaw Road, Grand Blanc, 48439, USA 48439 | 2020-11-04 |
| 1407456254 | Bradley Dwane Murphy | Pharmacist | 6170 S Saginaw, Grand Blanc, MI 48439 | 2020-10-30 |
| 1457975476 | Lauren Nicole Holmes | Obstetrics & Gynecology | Gme Department, 1 Genesys Pkwy, Grand Blanc, MI 48439 | 2020-06-05 |
| 1366063927 | Hadeel Ghazi Barrawi | Family Medicine | Ascension Genesys Hospital, Office of Medical Education, One Genesys Parkway, Grand Blanc, MI 48439 | 2020-05-05 |
| 1245851427 | Adriana Sharp | Surgery | 1 Genesys, Grand Blanc, MI 48439 | 2020-04-29 |
| 1114485109 | Kristen Milefchik | Case Manager/Care Coordinator | 278 Fox Chase Blvd, Grand Blanc, MI 48439 | 2019-03-08 |
| 1588134175 | Audrie Brook Mullin | Registered Nurse | 2313 E. Hill Rd, Grand Blanc, MI 48439 | 2018-11-27 |
| 1457845703 | Michael Patrick Tuczynski | Family Medicine | One Genesys Parkway Ascension Genesys Hospital, Attn: Debra Shuck, Grand Blanc, MI 48439 | 2018-06-20 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1336648393 | Raedeane Kenway | Dental Hygienist | 8542 Holly Rd, Grand Blanc, MI 48439 | 2018-02-06 |
| Find all providers in zip 48439 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326216821 | Aimee F Luat | Psychiatry & Neurology | 3901 Beaubien St., Children's Hospital of Mi, Detroit, MI 48201 | 2008-02-19 |
| 1184735698 | Olufemi O Soyode | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2006-08-31 |
| 1669419560 | Marianne E Majkowski | Psychiatry & Neurology | 2919 E. Wilder Rd, Suite 220, Bay City, MI 48706-9299 | 2006-05-31 |
| 1104815786 | Michael A Nigro | Psychiatry & Neurology | 6832 Ferry Ave, Charlevoix, MI 49720-9501 | 2005-10-17 |
| 1215921432 | Brian Eric Woodruff | Psychiatry & Neurology | 35 Michigan St Ne Ste 3003, Grand Rapids, MI 49503-2528 | 2005-09-02 |
| 1053943928 | Msu Health Care Inc. | Psychiatry & Neurology | 804 Service Rd Ste A217, East Lansing, MI 48824-7015 | 2020-02-10 |
| 1962968164 | Genesee Health System | Psychiatry & Neurology | 2700 Robert T Longway Blvd Ste G, Flint, MI 48503-2190 | 2019-02-13 |
| 1629503024 | Suleiman Kojan | Psychiatry & Neurology | 3555 W 13 Mile Rd Ste N120, Beaumont Hospital Royal Oak, Royal Oak, MI 48073-6710 | 2017-04-24 |
| 1710342027 | Kabelo Joseph Thusang | Psychiatry & Neurology | 804 Service Rd # A217, East Lansing, MI 48824-7015 | 2015-12-31 |
| 1942620638 | Center for Adolescent and Child Neurology | Psychiatry & Neurology | 422 Plymouth Ave Ne, Grand Rapids, MI 49505-6028 | 2014-04-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND BLANC |
| Zip Code | 48439 |
Please comment or provide details below to improve the information on REGENTS OF THE UNIVERSITY OF MICHIGAN-PEDIATRIC SURGERY OFFSITE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.