AXON SURGICAL NEUROMONITORING PLLC (NPI# 1013487701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013487701 |
| Entity Type | Organization |
| Organization Name | AXON SURGICAL NEUROMONITORING PLLC |
| Practice Address |
10703 Hart Ave Huntington Woods MI 48070-1129 |
| Mailing Address |
43422 W Oaks Dr # 430 Novi MI 48377-3300 |
| Practice Telephone | 2142693875 |
| Practice Fax Number | 9033286568 |
| Enumeration Date | 2018-11-26 |
| Last Update Date | 2018-11-26 |
| Authorized Official Name | GINA SULLIVAN (BILLING MANAGER) |
| Authorized Official Telephone | 2142693875 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
10703 HART AVE |
| City | HUNTINGTON WOODS |
| State | MI |
| Zip Code | 48070-1129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286237 | Intrinsic Dental Care Plc | Dentist | 26711 Woodward Ave., Suite 101, Huntington Woods, MI 48070 | 2019-07-10 |
| 1366852535 | P. Adler, PC | Radiology | 26711 Woodward Ave Suite Ll1, Huntington Woods, MI 48070 | 2014-04-28 |
| 1396958336 | Matthew James Smith | Dentist | 26711 Woodward Avenue, Suite 107, Huntington Woods, MI 48070 | 2007-05-07 |
| 1467664177 | Barry Chesterman | Physical Therapist | 13132 Ludlow Ave, Huntington Woods, MI 48070 | 2007-05-04 |
| 1710023916 | Advanced Neuro Rehab Services | Physical Therapist | 26635 Woodward Avenue, Suite 101, Huntington Woods, MI 48070 | 2007-01-29 |
| 1194802314 | Russell Charles Bowman | Dentist | 26635 Woodward, Huntington Woods, MI 48070 | 2006-11-01 |
| 1508951104 | Chen Cao | Dentist | 26789 Woodward Ave., Suite 203, Huntington Woods, MI 48070 | 2006-10-03 |
| 1235162231 | Ira Joseph Schaer | Psychologist | 26789 Woodward, Suite 211, Huntington Woods, MI 48070 | 2006-07-10 |
| 1962475236 | Lisa Anne Fulgenzi | Internal Medicine | 26711 Woodward Ave Ste 103, Huntington Woods, MI 48070 | 2006-02-08 |
| 1861478612 | Nancy M Mannisto | Pediatrics | 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 | 2005-12-22 |
| Find all providers in zip 48070 | ||||
| Taxonomy Code | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740750439 | Intraoperative Monitoring of Sem Pllc | Electrodiagnostic Medicine | 710 King Cir, Lake Orion, MI 48362-2782 | 2018-11-26 |
| 1407347743 | Neuro Edx, LLC | Electrodiagnostic Medicine | 29488 Woodward Avenue, Suite 429, Royal Oak, MI 48073 | 2018-05-22 |
| 1881110526 | P J Associates Pllc | Electrodiagnostic Medicine | 18181 Oakwood Blvd Ste 403, Dearborn, MI 48124-3960 | 2017-08-15 |
| 1205466505 | Mideast Diagnostic LLC | Electrodiagnostic Medicine | 130 Hampton Cir, Rochester Hills, MI 48307-4195 | 2020-01-25 |
| 1457866873 | Great Lakes Neuromonitoring, Pllc | Electrodiagnostic Medicine | 5119 Highland Rd, (m-59) #389, Waterford, MI 48327-1915 | 2017-12-07 |
| 1659827095 | Neurospine Monitor, Pllc | Electrodiagnostic Medicine | 14250 Beadle Lake Rd, 160, Battle Creek, MI 49014-7200 | 2016-08-26 |
| City | HUNTINGTON WOODS |
| Zip Code | 48070 |
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| 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.