NEUROLOGICAL ASSOCIATES OF WEST MI, PC (NPI# 1295792026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295792026 |
| Entity Type | Organization |
| Organization Name | NEUROLOGICAL ASSOCIATES OF WEST MI, PC |
| Practice Address |
2855 Michigan St Ne Suite 200 Grand Rapids MI 49506-1221 |
| Practice Telephone | 6169574090 |
| Practice Fax Number | 6169574095 |
| Mailing Telephone | 6169574090 |
| Mailing Fax Number | 6169574095 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | DR. D EUGENE WILEY (PRESIDENT/PHYSICIAN PARTNER) |
| Authorized Official Telephone | 6169574090 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
2855 MICHIGAN ST NE SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427308741 | David M. Bertram | Psychologist | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2012-09-13 |
| 1689986614 | Spectrum Health Primary Care Partners | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2010-07-07 |
| 1558696054 | James Tucci | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2009-10-16 |
| 1891996294 | Danita Grace Vanderkodde | Physician Assistant | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2007-05-31 |
| 1326130857 | Michael Lawrence | Clinical Neuropsychologist | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-09-29 |
| 1902825722 | Janice E Looman | Nurse Practitioner | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-07-19 |
| 1730146119 | Leslie Aaron Neuman | Psychiatry & Neurology | 2855 Michigan St Ne, Suite 200, Grand Rapids, MI 49506-1221 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| 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 |
| 1518377746 | Audrey Kay Sanders | Psychiatry & Neurology | 220 Cherry St Se # 1, Grand Rapids, MI 49503 | 2014-04-28 |
| 1598101115 | Rebecca Smith Tang | Psychiatry & Neurology | 245 Cherry St Se Ste 104, Grand Rapids, MI 49503-4607 | 2013-05-22 |
| 1497901110 | Jahandar Saifollahi | Psychiatry & Neurology | Saddle Back Center, Building 751-e Kenmore Avenue, S.e., Grand Rapids, MI 49546-2391 | 2008-08-13 |
| 1528008281 | Herman Sullivan | Psychiatry & Neurology | 200 Cherry St Se, Grand Rapids, MI 49503 | 2006-06-08 |
| 1144269432 | Rajeev Deveshwar | Psychiatry & Neurology | 25 Michigan St Ne Ste 6100, Spectrum Health Medical Group Neurovascular/stroke Offi, Grand Rapids, MI 49503-2561 | 2006-06-05 |
| 1881641694 | Timothy Thoits | Psychiatry & Neurology | 3322 E Beltline Ct Ne, Grand Rapids, MI 49525-9480 | 2006-05-27 |
| 1255388062 | John Visser | Psychiatry & Neurology | 2750 E Beltline Ave Ne Fl 3, Grand Rapids, MI 49525 | 2006-05-27 |
| 1467427088 | Evelyn Panagsagan Navarro | Psychiatry & Neurology | 3200 Eagle Park Dr Ne Ste 103, Grand Rapids, MI 49525 | 2006-02-17 |
| 1902808272 | Forest View Psychiatric Hospital Inc | Psychiatry & Neurology | 1055 Medical Park Dr Se, Grand Rapids, MI 49546-3671 | 2005-06-01 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
Please comment or provide details below to improve the information on NEUROLOGICAL ASSOCIATES OF WEST MI, PC.
| 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.