MICHIGAN SPINE AND BRAIN SURGEONS, PLLC
NPI 1336130863
Neurological Surgery in Southfield, MI
NPI Status: Active since November 03, 2005
Contact Information
22250 PROVIDENCE DR
SUITE 601
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 569-7745
Fax: (248) 569-4539
- Organization
- Neurological Surgery
- Accepts Insurance
About MICHIGAN SPINE AND BRAIN SURGEONS, PLLC
This page provides the complete NPI Profile along with additional information for Michigan Spine And Brain Surgeons, Pllc, a provider established in Southfield, Michigan operating as a Neurological Surgery. The healthcare provider is registered in the NPI registry with number 1336130863 assigned on November 2005. The practitioner's primary taxonomy code is 207T00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Michigan Spine And Brain Surgeons, Pllc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Teck Mun Soo M.d. (President)
- NPI
- 1336130863
- Provider Name
- MICHIGAN SPINE AND BRAIN SURGEONS, PLLC
- Entity Type
- Organization
- Location Address
- 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075
- Location Phone
- (248) 569-7745
- Location Fax
- (248) 569-4539
- Mailing Address
- 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075
- Mailing Phone
- (248) 569-7745
- Mailing Fax
- (248) 569-4539
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2005
- Last Update Date
- 07-14-2011
- 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
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Blue Cross� Local HMO Bronze Extra - HMO
- Blue Cross� Local HMO Bronze Secure - HMO
- Blue Cross� Local HMO Silver Extra - HMO
- Blue Cross� Local HMO Silver Saver - HMO
- Blue Cross� Metro Detroit HMO Bronze Extra - HMO
- Blue Cross� Metro Detroit HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
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.
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 |
|---|---|---|---|
| 0F32853 | OTHER (01) | MI | BLUE CROSS |
| 0P20560 | MEDICARE PIN (08) | MI |
Reviews for MICHIGAN SPINE AND BRAIN SURGEONS, PLLC
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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 | 3 | 3 | 6 | 1 | 3 | 0 | 8 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 3 | 0 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 3 + 0 + 8 + 1 + 2 + 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 1336130863 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 |
|---|---|---|---|
| 1710981071 | ANTHONY EDWARD BOUTT MD Individual | Obstetrics & Gynecology | 22250 PROVIDENCE DR 408 SOUTHFIELD, MI 48075 (248) 465-4470 |
| 1396747499 | PATRICIA ANNE BARBER MD Individual | Family Medicine | 22250 PROVIDENCE DR FL 5 SOUTHFIELD, MI 48075 (248) 849-3444 |
| 1003810839 | BRASWELL DRUE DEEN MD Individual | Family Medicine | 22250 PROVIDENCE DR 5TH FLOOR.FL 5 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1003814955 | DR. ALASDAIR I.L. MCKENDRICK M.D. Individual | Colon & Rectal Surgery | 22250 PROVIDENCE DR SUITE 208 SOUTHFIELD, MI 48075 (248) 557-8780 |
| 1912906447 | KAREN BARNES MITCHELL MD Individual | Family Medicine | 22250 PROVIDENCE DR 500 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1558361972 | GARY G OTSUJI MD Individual | Family Medicine | 22250 PROVIDENCE DR 5TH FLOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1639170129 | SUSAN COHEN ZELTZER MD Individual | Family Medicine | 22250 PROVIDENCE DR 5TH FLOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1710988209 | KAMRAN ZAKARIA MD Individual | Family Medicine | 22250 PROVIDENCE DR 500 SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1336131291 | LUCILLE DESSLER RN, NP Individual | Registered Nurse | 22250 PROVIDENCE DR 5TH FLOOR SOUTHFIELD, MI 48075 (248) 849-3441 |
| 1346234770 | PETER LOUIS BONO DO Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075 (248) 569-7745 |
| 1255325684 | RODERICK CLAYBROOKS MD Individual | Orthopaedic Surgery (Orthopaedic Surgery of the Spine) | 22250 PROVIDENCE DR SUITE 601 SOUTHFIELD, MI 48075 (248) 569-7745 |
| 1164404471 | DR. MARY JO ELNICK MD Individual | Ophthalmology | 22250 PROVIDENCE DR STE 304 SOUTHFIELD, MI 48075 (248) 569-4366 |
| 1528041084 | LISA MARY STARKEY NP Individual | Internal Medicine (Cardiovascular Disease) | 22250 PROVIDENCE DR STE #705 SOUTHFIELD, MI 48075 (248) 552-9858 |
| 1295719896 | DR. ATHANASIUS Z LOBO M.D. Individual | Internal Medicine | 22250 PROVIDENCE DR SUITE 206 SOUTHFIELD, MI 48075 (248) 569-0288 |
| 1770568057 | DR. FREDERICK LUDWIG JARDON MD Individual | Ophthalmology | 22250 PROVIDENCE DR SUITE 304 SOUTHFIELD, MI 48075 (248) 569-4366 |
| 1164401188 | DR. GREGORY PAUL KARRIS MD Individual | Internal Medicine (Gastroenterology) | 22250 PROVIDENCE DR SUITE 604 SOUTHFIELD, MI 48075 (248) 569-1770 |
| 1265403372 | MICHAEL B. HAYNES M.D. Individual | Orthopaedic Surgery | 22250 PROVIDENCE DR SUITE 401 SOUTHFIELD, MI 48075 (248) 569-0306 |
| 1619943180 | DR. IRAM A REHMAN MD Individual | Internal Medicine (Nephrology) | 22250 PROVIDENCE DR STE 406 SOUTHFIELD, MI 48075 (248) 557-9010 |
| 1477522423 | DR. ALI REZA ASHTARI M.D. Individual | Internal Medicine (Nephrology) | 22250 PROVIDENCE DR SUITE 406 SOUTHFIELD, MI 48075 (248) 557-9010 |
| 1518929793 | DR. TOBIAS VALENTINE GEORGE M.D. Individual | Ophthalmology | 22250 PROVIDENCE DR SUITE 304 SOUTHFIELD, MI 48075 (248) 569-4366 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336130863, enumerated in the NPI registry as an "organization" on November 03, 2005
The provider is located at 22250 Providence Dr Suite 601 Southfield, Mi 48075 and the phone number is (248) 569-7745
This medical organization specializes in Neurological Surgery with taxonomy code 207T00000X
The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. 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 November 03, 2005. 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.