PEDIATRIC NEUROSURGERY GROUP, P.C.


Address: 3901 Beaubien St, Detroit, MI 48201-2119
Phone: 3138334490

PEDIATRIC NEUROSURGERY GROUP, P.C. (NPI# 1255476214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255476214
Entity Type Organization
Organization Name PEDIATRIC NEUROSURGERY GROUP, P.C.
Practice Address 3901 Beaubien St
Detroit
MI 48201-2119
Practice Telephone 3138334490
Mailing Telephone 3138334490
Enumeration Date 2007-02-20
Last Update Date 2020-08-22
Authorized Official Name STEVEN D HAM (PRESIDENT)
Authorized Official Telephone 3138334490
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery ========= MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4160459 05
MI 4210122 05
MI 4160450 05

Office Location

Street Address 3901 BEAUBIEN ST
City DETROIT
State MI
Zip Code 48201-2119

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538151238 Mark Campbell Nurse Anesthetist, Certified Registered 3901 Beaubien St, Detroit, MI 48201-2119 2005-08-18
1164037735 Mamdouh Dakhel A Alahmadi Thoracic Surgery (Cardiothoracic Vascular Surgery) 3901 Beaubien St, Detroit, MI 48201-2196 2020-09-10
1801407119 Samantha Mulkiten Nurse Practitioner 3901 Beaubien St, Detroit, MI 48201-2119 2020-08-11
1346864550 Mariane Tomiyoshi Asato Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-06-03
1629691613 Abigail Marie Troy Pediatrics 3901 Beaubien St, Detroit, MI 48201-2196 2020-05-25
1235750373 Katherine Marie Obudzinski Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2196 2020-04-29
1548880073 Sara Mercedes Evans Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-24
1619597069 Zahur Fatima Sallman Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-24
1154941706 Saira Tariq Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-23
1063032688 Michael Allen Finkel Student in an Organized Health Care Education/Training Program 3901 Beaubien St, Detroit, MI 48201-2119 2020-04-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770927352 Joseph J Berke Neurological Surgery 3333 E. Jefferson, Detroit, MI 48207 2013-04-25
1619218781 Bijalkumar Patel Neurological Surgery 4201 Saint Antoine St # 6e, Detroit, MI 48201-2153 2013-03-14
1508183195 Leopold Arko Iv Neurological Surgery 3901 Beaubien St # 2, Detroit, MI 48201-2196 2010-04-22
1104078617 Marc Daniel Moisi Neurological Surgery 4160 John R St Ste 930, Detroit, MI 48201 2008-10-15
1518002070 Sonia Veronica Eden Neurological Surgery 4160 John R St Ste 925, Detroit, MI 48201-2017 2007-02-21
1235159815 Jeffrey Eugene Catrambone Neurological Surgery 3901 Beaubien Second Floor, Detroit, MI 48201 2006-07-19
1174554778 University Neurologic Surgeons Neurological Surgery 4160 John R. St., Suite 925, Detroit, MI 48201 2006-07-05
1497795363 Kenneth F Casey Neurological Surgery Harper Professional Building, 4160 John R Ste 930, Detroit, MI 48201 2006-06-07
1780624239 Murali Guthikonda Neurological Surgery Harper Professional Building Ste 925, 4160 John R, Detroit, MI 48201 2006-06-06
1255378253 Hazem A Eltahawy Neurological Surgery 4160 John R Ste 925, Harper Professional Building, Detroit, MI 48201-2020 2006-05-31
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Competitor

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City DETROIT
Zip Code 48201

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Dataset Information

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.

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