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

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  • 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
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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)
1207XS0117XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Orthopaedic Surgery of the Spine

 

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. TECK MUN SOO M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(248) 569-7745

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
0F32853OTHER (01)MIBLUE CROSS
0P20560MEDICARE 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.
1336130863
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366230812
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 = 33

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 & Gynecology22250 PROVIDENCE DR 408
SOUTHFIELD, MI 48075
(248) 465-4470
1396747499 PATRICIA ANNE BARBER MD
Individual
Family Medicine22250 PROVIDENCE DR FL 5
SOUTHFIELD, MI 48075
(248) 849-3444
1003810839 BRASWELL DRUE DEEN MD
Individual
Family Medicine22250 PROVIDENCE DR 5TH FLOOR.FL 5
SOUTHFIELD, MI 48075
(248) 849-3441
1003814955DR. ALASDAIR I.L. MCKENDRICK M.D.
Individual
Colon & Rectal Surgery22250 PROVIDENCE DR SUITE 208
SOUTHFIELD, MI 48075
(248) 557-8780
1912906447 KAREN BARNES MITCHELL MD
Individual
Family Medicine22250 PROVIDENCE DR 500
SOUTHFIELD, MI 48075
(248) 849-3441
1558361972 GARY G OTSUJI MD
Individual
Family Medicine22250 PROVIDENCE DR 5TH FLOOR
SOUTHFIELD, MI 48075
(248) 849-3441
1639170129 SUSAN COHEN ZELTZER MD
Individual
Family Medicine22250 PROVIDENCE DR 5TH FLOOR
SOUTHFIELD, MI 48075
(248) 849-3441
1710988209 KAMRAN ZAKARIA MD
Individual
Family Medicine22250 PROVIDENCE DR 500
SOUTHFIELD, MI 48075
(248) 849-3441
1336131291 LUCILLE DESSLER RN, NP
Individual
Registered Nurse22250 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
1164404471DR. MARY JO ELNICK MD
Individual
Ophthalmology22250 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
1295719896DR. ATHANASIUS Z LOBO M.D.
Individual
Internal Medicine22250 PROVIDENCE DR SUITE 206
SOUTHFIELD, MI 48075
(248) 569-0288
1770568057DR. FREDERICK LUDWIG JARDON MD
Individual
Ophthalmology22250 PROVIDENCE DR SUITE 304
SOUTHFIELD, MI 48075
(248) 569-4366
1164401188DR. 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 Surgery22250 PROVIDENCE DR SUITE 401
SOUTHFIELD, MI 48075
(248) 569-0306
1619943180DR. IRAM A REHMAN MD
Individual
Internal Medicine (Nephrology)22250 PROVIDENCE DR STE 406
SOUTHFIELD, MI 48075
(248) 557-9010
1477522423DR. ALI REZA ASHTARI M.D.
Individual
Internal Medicine (Nephrology)22250 PROVIDENCE DR SUITE 406
SOUTHFIELD, MI 48075
(248) 557-9010
1518929793DR. TOBIAS VALENTINE GEORGE M.D.
Individual
Ophthalmology22250 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.