VIVID NEUROLOGY PC (NPI# 1609489988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609489988 |
| Entity Type | Organization |
| Organization Name | VIVID NEUROLOGY PC |
| Practice Address |
26400 W 12 Mile Rd Ste 20 Southfield MI 48034-1774 |
| Practice Telephone | 2488648752 |
| Practice Fax Number | 2489200744 |
| Mailing Telephone | 2488648752 |
| Mailing Fax Number | 2489200744 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Authorized Official Name | REMONDA ELYAS (MANAGER) |
| Authorized Official Telephone | 2488648752 |
| 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 |
26400 W 12 MILE RD STE 20 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 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 | 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 |
|---|---|---|---|---|
| 1306473418 | International Medical Clinic Pllc | Psychiatry & Neurology | 26100 American Dr Ste 200, Southfield, MI 48034-2367 | 2020-03-26 |
| 1992261481 | Lucid Neurology PC | Psychiatry & Neurology | 26400 W 12 Mile Rd Ste 20, Southfield, MI 48034-1774 | 2019-02-20 |
| 1891936977 | Comprehensive Clinical Neurology P.C. | Psychiatry & Neurology | 23077 Greenfield Rd Ste 222, Southfield, MI 48075-3745 | 2009-03-18 |
| 1730246737 | Evolving Evolutions LLC | Psychiatry & Neurology | 29201 Telegraph Rd Ste 240, Southfield, MI 48034-7645 | 2007-01-02 |
| 1427153915 | Steven Edward Newman | Psychiatry & Neurology | 25811 W. 12 Mile Rd, Southfield, MI 48034 | 2006-09-13 |
| 1194703207 | Nancy Jingyang Cao | Psychiatry & Neurology | 25865 W 12 Mile Rd Ste D110, Southfield, MI 48034-1817 | 2006-01-09 |
| 1932181989 | Rashmi Gupta | Psychiatry & Neurology | 29592 Northwestern Hwy, Southfield, MI 48034-1019 | 2005-11-16 |
| 1548269897 | Tessy C Jenkins | Psychiatry & Neurology | 27200 Lahser Rd, Suite 100, Southfield, MI 48034 | 2005-07-19 |
| 1316944275 | Leonard Sahn | Psychiatry & Neurology | 25330 Telegraph Rd, Suite 340, Southfield, MI 48034-7454 | 2005-07-06 |
| 1366445173 | Lawrence Mark Eilender | Psychiatry & Neurology | 26400 W 12 Mile Rd, Ste 170, Southfield, MI 48034-1753 | 2005-05-24 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
Please comment or provide details below to improve the information on VIVID NEUROLOGY 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.