WILMA AGNELLO-DIMITRIJEVIC M.D.
NPI 1104865443
Psychiatry & Neurology - Neurology in Clinton Twp, MI
NPI Status: Active since June 05, 2006
Contact Information
15855 19 MILE RD
CLINTON TWP, MI
ZIP 48038
Phone: (586) 263-2300
- Individual
- Female
- Psychiatry & Neurology
- Neurology
About WILMA AGNELLO-DIMITRIJEVIC
This page provides the complete NPI Profile along with additional information for Wilma Agnello-dimitrijevic, a provider established in Clinton Twp, Michigan with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1104865443 assigned on June 2006. The practitioner's primary taxonomy code is 2084N0400X with license number WA058316 (MI). The provider is registered as an individual and her NPI record was last updated 17 years ago.
- NPI
- 1104865443
- Provider Name
- WILMA AGNELLO-DIMITRIJEVIC M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 15855 19 MILE RD CLINTON TWP, MI 48038
- Location Phone
- (586) 263-2300
- Mailing Address
- 43421 GARFIELD RD STE1 CLINTON TWP, MI 48038
- Mailing Phone
- (586) 286-5500
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-05-2006
- Last Update Date
- 08-01-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- WA058316
- License State
- MI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3290951 | MEDICAID (05) | MI | |
| OM28930 | MEDICARE ID-TYPE UNSPECIFIED (04) | MI | |
| 0N31900022 | MEDICARE PIN (08) | MI | |
| G35382 | MEDICARE UPIN (02) | MI | |
| 1104865443 | MEDICAID (05) | MI |
Reviews for WILMA AGNELLO-DIMITRIJEVIC M.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 6 | 5 | 4 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 6 | 10 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 6 + 1 + 0 + 4 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1104865443 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255322467 | MS. JUDITH MCKENNA RN, NP Individual | Nurse Practitioner | 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 (586) 295-5387 |
| 1487632923 | DENISE DYAR NP Individual | Nurse Practitioner (Family) | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 236-2601 |
| 1336127406 | DR. SCOTT SIPP M.D. Individual | Emergency Medicine | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 236-2601 |
| 1902884034 | KAREN SCHWARTZ NP Individual | Nurse Practitioner | 15855 19 MILE RD EMERGENCY MEDICINE DEPARTMENT CLINTON TWP, MI 48038 (586) 263-2601 |
| 1245299296 | CHERI M CARTWRIGHT CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2370 |
| 1386603470 | MAI T DO CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2370 |
| 1598719668 | MR. CHRISTOPHER F GORTAT RPH Individual | Pharmacist | 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 (586) 263-2650 |
| 1710934583 | EVE M VANEGMOND MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 (586) 263-2461 |
| 1134155740 | FEDOR OPOCHINSKY M.D. Organization | Psychiatry & Neurology (Psychiatry) | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 466-9939 |
| 1063449825 | GEORGE O KUCY MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 (586) 263-2458 |
| 1770591265 | MS. SUZETTE DESIREE RIPEPE JD, MS, RPH Individual | Pharmacist | 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 (586) 263-2650 |
| 1629179668 | MS. PAMELA BASTION CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2370 |
| 1407957459 | MR. EDWARD W. BENNETT CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2370 |
| 1255432142 | MS. LORI C KUSHNER CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2370 |
| 1114028016 | MS. BRENDA J LEHMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2370 |
| 1487746210 | COLLEEN BERTANI MSW Individual | Social Worker | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2217 |
| 1841368297 | IN SIK JEON M.D. Individual | Anesthesiology | 15855 19 MILE RD CLINTON TOWNSHIP, MI 48038 (586) 263-2300 |
| 1205997616 | LEAH M LARSON CRNA Individual | Nurse Anesthetist, Certified Registered | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2371 |
| 1528115375 | NANCY A HERRINGSHAW M.D. Individual | Anesthesiology | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 263-2373 |
| 1245387190 | LI ZHANG M.D. Individual | Anesthesiology | 15855 19 MILE RD CLINTON TWP, MI 48038 (586) 273-2373 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104865443, enumerated in the NPI registry as an "individual" on June 05, 2006
The provider is located at 15855 19 Mile Rd Clinton Twp, Mi 48038 and the phone number is (586) 263-2300
The provider's speciality is Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.