MONTANA NEUROLOGY PLLC (NPI# 1205326873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205326873 |
| Entity Type | Organization |
| Organization Name | MONTANA NEUROLOGY PLLC |
| Other Organization Name | MICHIGAN NEUROLOGY |
| Practice Address |
2040 Grand River Anx Ste 200 Brighton MI 48114 |
| Mailing Address |
2825 Fort Missoula Rd Ste 121 Missoula MT 59804-7403 |
| Practice Telephone | 2483285361 |
| Practice Fax Number | 4069263498 |
| Mailing Telephone | 4069263500 |
| Mailing Fax Number | 4069263499 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2019-06-05 |
| Authorized Official Name | THOMAS H SWANSON (OWNER) |
| Authorized Official Telephone | 4062742295 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTANA NEUROLOGY PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Michigan Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780810275 | Montana Neurology Pllc | Psychiatry & Neurology | 2825 Fort Missoula Rd Ste 121, Missoula, MT 59804 | 2009-06-10 |
| Street Address |
2040 GRAND RIVER ANX STE 200 |
| City | BRIGHTON |
| State | MI |
| Zip Code | 48114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1205370855 | Samantha Hawley | Contractor | 73 Perch Street, Brighton, MI 48114 | 2016-12-15 |
| 1164883633 | Kathryn Degrande Lankton | Family Medicine | 7575 Grand River Ste 210, Brighton, MI 48114 | 2016-03-11 |
| 1992110241 | Bryant Castelein | Podiatrist | 7990 Grand River Rd Ste D, Brighton, MI 48114 | 2014-06-25 |
| 1033544945 | Maria Kottke | Nurse Practitioner | 3222 Eden Trl, Brighton, MI 48114 | 2013-09-10 |
| 1720380462 | Kami Erin Bartholomew | Physical Therapy Assistant | 744 Grand River, Brighton, MI 48114 | 2010-12-01 |
| 1467779223 | Amy Hund | Psychologist | 10031 Spencer Rd, Brighton, MI 48114 | 2010-05-03 |
| 1851529978 | Mark Brian Mcintee | Physician Assistant | 7575 W. Grand River, Brighton, MI 48114 | 2009-06-26 |
| 1982865432 | Disha Kinra | Dentist | 7743 Grand River Ave Ste 202, Great Expressions Dental Centers, Brighton, MI 48114 | 2008-06-18 |
| 1093975567 | Stacie Michelle Griffin | Family Medicine | 524 Byron Rd., Brighton, MI 48114 | 2008-06-09 |
| Find all providers in zip 48114 | ||||
| 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 |
|---|---|---|---|---|
| 1194806570 | Jeffrey S Kutcher | Psychiatry & Neurology | 8273 Grand River Rd 210, Brighton, MI 48114-9346 | 2006-10-18 |
| 1710074356 | Xi Guo | Psychiatry & Neurology | 7305 Grand River Rd, Ste 550, Brighton, MI 48114-7376 | 2006-10-06 |
| 1275043853 | Sports Neurology Clinic | Psychiatry & Neurology | 8273 Grand River Rd Ste 210, Brighton, MI 48114-9346 | 2017-10-09 |
| 1053703884 | Brighton Neurology, Pllc | Psychiatry & Neurology | 7305 Grand River Rd, Ste 550, Brighton, MI 48114-7376 | 2015-03-03 |
| 1972898070 | Alok Sachdeva | Psychiatry & Neurology | 7500 Challis Rd, 2nd Floor, Brighton, MI 48116-9416 | 2011-06-16 |
| 1669792636 | Ayshe Ana Beesen | Psychiatry & Neurology | 736 Cambridge St, Brighton, MA 02135 | 2010-06-01 |
| 1174765200 | Caritas Medical Group Inc | Psychiatry & Neurology | 77 Warren St, Suite 339, Brighton, MA 02135-3601 | 2009-04-06 |
| 1083703516 | Greater Ann Arbor Neurology Associates P.C. | Psychiatry & Neurology | 2300 Genoa Business Park Dr, Suite 190, Brighton, MI 48114-7367 | 2006-10-12 |
| 1255428967 | Sylvia Anagnos | Psychiatry & Neurology | 2300 Genoa Business Park Dr, Suite 190, Brighton, MI 48114-7367 | 2006-10-06 |
| 1689646606 | Anna Depold Hohler | Psychiatry & Neurology | 736 Cambridge Street, Ccp 8, Brighton, MA 02135 | 2006-02-03 |
| Find all providers in BRIGHTON | ||||
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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.