MICHAEL JAMES POPOVICH (NPI# 1205247442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205247442 |
| Entity Type | Individual |
| Full Name | MICHAEL JAMES POPOVICH |
| Credential | M.D. |
| Practice Address |
24 Frank Lloyd Wright Dr Lobby A Suite 100 Ann Arbor MI 48105-9484 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349307400 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
4301105162 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
24 FRANK LLOYD WRIGHT DR LOBBY A SUITE 100 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174529127 | Paula Tuohy Miska | Nurse Practitioner | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48109 | 2005-06-23 |
| 1629540992 | Regents of The University of Michigan | Durable Medical Equipment & Medical Supplies | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-12-26 |
| 1477021160 | Lisa Jane Bosio | Registered Nurse | 24 Frank Lloyd Wright Dr, Lobby C Suite 1300, Ann Arbor, MI 48105-9484 | 2018-11-12 |
| 1770073199 | Regents of The University of Michigan | Dietitian, Registered | 24 Frank Lloyd Wright Dr, Dominos Farms Lobby C Suite 1300, Ann Arbor, MI 48106 | 2018-05-10 |
| 1861998411 | Dale Douglas Hazard | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-04-03 |
| 1144724303 | Kanisha Ward | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-22 |
| 1851894109 | Kristy Jo Bonasso | Occupational Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-13 |
| 1932602612 | Eric Kilpatrick | Specialist/Technologist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-09 |
| 1679075659 | Kristen Hope Schuyten | Physical Therapist | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
| 1912409897 | Gary Kufel | Physical Medicine & Rehabilitation | 24 Frank Lloyd Wright Dr, Ann Arbor, MI 48105-9484 | 2018-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
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| 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 |
|---|---|---|---|---|
| 1598079568 | Sunil G Nair | Psychiatry & Neurology | 1500 E Medical Center Dr Spc 5322, Department of Neurology, Ann Arbor, MI 48109-5322 | 2010-08-02 |
| 1568626976 | Srilatha Thadur | Psychiatry & Neurology | 2301 S Huron Pkwy Ste 1d, Ann Arbor, MI 48104-5133 | 2008-07-15 |
| 1871616995 | Kenneth Lyman Casey | Psychiatry & Neurology | 2775 Heather Way, Ann Arbor, MI 48104-2852 | 2007-04-06 |
| 1770596470 | Ann A Little | Psychiatry & Neurology | 1500east Medical Center Dr, 1st Floor Taubman Ctr Recp C, Ann Arbor, MI 48109-5322 | 2006-08-14 |
| 1124007208 | Wade Michael Cooper | Psychiatry & Neurology | 325 East Eisenhower, Suite 100, Ann Arbor, MI 48108-5744 | 2006-01-17 |
| 1497748537 | Henry Lauris Paulson | Psychiatry & Neurology | 4260 Plymouth Rd, Ann Arbor, MI 48109-2700 | 2005-08-24 |
| 1669827028 | William Benjamin Farnsworth | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-05-04 |
| 1568825420 | Bradley Thomas Nix | Psychiatry & Neurology | 1500 E. Medical Center Drive, F2597 University Hospital South, Ann Arbor, MI 48109 | 2016-03-29 |
| 1356721930 | Jennifer Marie Arnold | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-06-09 |
| 1275911133 | Jason Paul Chua | Psychiatry & Neurology | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2015-05-12 |
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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.