WEST BRANCH NERUOLOGY (NPI# 1164619763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164619763 |
| Entity Type | Organization |
| Organization Name | WEST BRANCH NERUOLOGY |
| Practice Address |
335 E Houghton Ave West Branch MI 48661-1127 |
| Practice Telephone | 9893454343 |
| Practice Fax Number | 9893454344 |
| Mailing Telephone | 9893454343 |
| Mailing Fax Number | 9893454344 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2007-09-27 |
| Authorized Official Name | TONI LEWIS (OFFICE MANAGER) |
| Authorized Official Telephone | 9893454343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
DP009646 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS BLUE SHIELD | 1356510065 | 01 |
| HEALTH ADVANTAGE | 1012243 | 01 | |
| MI | MEDICARE PLUS BLUE | OP03260001 | 01 |
| MEDICARE RAILROAD | P00203101 | 01 |
| Street Address |
335 E HOUGHTON AVE |
| City | WEST BRANCH |
| State | MI |
| Zip Code | 48661-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346238680 | Hospice of Helping Hands, Inc. | Hospice Care, Community Based | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2005-10-11 |
| 1841767480 | Ann Sarnes Cleary | Speech-Language Pathologist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2018-11-01 |
| 1588130934 | Kathryn Lea Toonstra | Speech-Language Pathologist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2018-10-23 |
| 1578039186 | Stephanie Shay Fales | Occupational Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2018-10-22 |
| 1881193936 | Staci Richelle Saunders | Occupational Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2018-02-05 |
| 1588163711 | Laura Lynn Duby | Physical Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2018-02-02 |
| 1619361490 | Jessica Montgomery | Physical Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-03-19 |
| 1174915573 | Michelle Zultak | Physical Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-02-23 |
| 1245621853 | Kristine Goodroe | Counselor | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-02-18 |
| 1255633871 | Doris A Nelson M D P C | Clinic/Center | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2010-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992226773 | Linda Loou Thopmson | Registered Nurse | 335 E. Houghton Ave., West Branch, MI 48661 | 2017-06-30 |
| 1831559103 | Lisa J. Gutierrez | Counselor | 105 N. 3rd St., Ste 6, West Branch, MI 48661 | 2016-03-01 |
| 1497185383 | Linda Joy Latulip | Social Worker | 445 S. Valley, West Branch, MI 48661 | 2013-11-14 |
| 1376973289 | Patricia Woelke | Occupational Therapist | 335 East Houghton, West Branch, MI 48661 | 2013-11-14 |
| 1760731012 | Lucas John Wyzlic | Physician Assistant | 621 Court Street, Suite 104, West Branch, MI 48661 | 2012-08-31 |
| 1225312234 | Mark Bedtelyon | Pharmacist | 2480 E Houghton Ave, West Branch, MI 48661 | 2011-10-10 |
| 1790016632 | Stephanie M Witte-mason | Chiropractor | 2333 S M 76, West Branch, MI 48661 | 2010-01-15 |
| 1578798997 | Michael Robert Munger | Dietitian, Registered | 2897 Amanda Ct., West Branch, MI 48661 | 2009-05-29 |
| 1124261516 | Sarah C. Bryce | Pharmacist | 501 E. Houghton Ave, West Branch, MI 48661 | 2009-04-14 |
| 1528208303 | Richard K Braidwood | Pharmacist | 2206 S. M-76, West Branch, MI 48661 | 2009-03-06 |
| Find all providers in zip 48661 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134738545 | Tank Consultation Pllc | Psychiatry & Neurology | 6095 Mcallister Ct Se, Grand Rapids, MI 49546-3836 | 2020-07-31 |
| 1417578535 | Angelique Maria Manasseh | Psychiatry & Neurology | 28521 Orchard Lake Rd Ste B, Farmington Hills, MI 48334-2934 | 2020-04-29 |
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1720636657 | Muhammad Irshad Khan | Psychiatry & Neurology | 4201 Saint Antoine St Ste Uhc -8d, Detroit, MI 48201-2153 | 2019-09-04 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1417427352 | Ascension St. Mary's Hospital | Psychiatry & Neurology | 4705 Towne Centre Rd Ste 302, Saginaw, MI 48604-2819 | 2018-12-04 |
| 1205326873 | Montana Neurology Pllc | Psychiatry & Neurology | 2040 Grand River Anx Ste 200, Brighton, MI 48114 | 2018-05-18 |
| 1508353145 | Kalyan Yarraguntla | Psychiatry & Neurology | 4201 Saint Antoine St # 8c, Detroit, MI 48201-2153 | 2018-04-19 |
| 1225525389 | Ahmad Ballout | Psychiatry & Neurology | 27358 Michele St, Dearborn Heights, MI 48127-1809 | 2018-04-15 |
| 1245734730 | E.i. Neurology Associates, Pllc | Psychiatry & Neurology | 15945 19 Mile Rd Ste 106, Clinton Township, MI 48038-1147 | 2018-03-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST BRANCH |
| Zip Code | 48661 |
Please comment or provide details below to improve the information on WEST BRANCH NERUOLOGY.
| 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.