DR. MICHAEL DENNIS STAUDT (NPI# 1184173858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184173858 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DENNIS STAUDT |
| Credential | M.D., M.SC. |
| Practice Address |
29275 Northwestern Hwy Ste 100 Southfield MI 48034 |
| Practice Telephone | 8777843667 |
| Practice Fax Number | 2488693982 |
| Mailing Telephone | 8777843667 |
| Mailing Fax Number | 2488693982 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301502624 | MI | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 297205-1 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 57.027428 | OH | Student, Health Care |
| Street Address |
29275 NORTHWESTERN HWY STE 100 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278698 | David W Haber | Anesthesiology | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2005-07-13 |
| 1720471428 | Roger Cato Jr. | Physical Therapist | 29275 Northwestern Hwy, Suite 100, Southfield, MI 48034-1044 | 2015-03-05 |
| 1386050979 | Shoshana Dahlia Richelson | Audiologist | 29275 Northwestern Hwy, Suite 208, Southfield, MI 48034-1044 | 2014-07-03 |
| 1609138841 | Ratnesh Nandan Mehra | Neurological Surgery | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2012-06-13 |
| 1861794000 | Chiu Yuen To | Family Medicine | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2010-11-19 |
| 1912215237 | Anne Goldman | Occupational Therapist | 29275 Northwestern Hwy, Suite 150, Southfield, MI 48034-1044 | 2010-09-21 |
| 1780995001 | Ahmad Muhammad Thabet Ahmad | Psychiatry & Neurology | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2010-07-01 |
| 1417287517 | Daniel K Fahim | Neurological Surgery | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034-0000 | 2010-01-12 |
| 1821240615 | Natalia V Glisky | Physical Medicine & Rehabilitation | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034-1044 | 2008-10-13 |
| 1992960751 | May M Antone Md PC | Internal Medicine | 29275 Northwestern Hwy, Suite 200, Southfield, MI 48034-1044 | 2008-07-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952438269 | Boyd Richards | Neurological Surgery | 22250 Providence Dr Ste 601, Southfield, MI 48075-6214 | 2007-02-27 |
| 1740806520 | James Dragonette | Neurological Surgery | 22250 Providence Dr Ste 601, Southfield, MI 48075-6214 | 2020-06-17 |
| 1164046660 | Hepzibha Alexander | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2020-06-01 |
| 1861912321 | Jacob Michael Jasinski | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2017-06-26 |
| 1720508203 | Robert Wayne Mccabe | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2017-06-26 |
| 1932582269 | Evan Lytle | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2015-07-06 |
| 1154738326 | Troy Dawley | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2014-07-18 |
| 1275949695 | Justin Thomas | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2014-07-07 |
| 1598105280 | Sina Rajamand | Neurological Surgery | 16001 W 9 Mile Rd, Southfield, MI 48075-4818 | 2013-06-27 |
| 1609138841 | Ratnesh Nandan Mehra | Neurological Surgery | 29275 Northwestern Hwy, Ste 100, Southfield, MI 48034 | 2012-06-13 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.