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KONSTANTIN VOLOD ELISEVICH M.D. NPI 1841368651


NPI Information

NPI: 1841368651
Provider Name: KONSTANTIN VOLOD ELISEVICH, M.D.
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual
Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS

PECOS Registration: Yes

Address:
25 MICHIGAN ST NE
SUITE 6100
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 267-7900
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Konstantin Volod Elisevich, M.D. is a neurological surgery in Grand Rapids, MI with 46 years of experience. The provider is 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. Konstantin Volod Elisevich, M.D. NPI is 1841368651. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 MICHIGAN ST NE
SUITE 6100
GRAND RAPIDS, MI
ZIP 49503-515
Phone: (616) 267-7900
Fax: (616) 267-7901

The NPI 1841368651 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 12/3/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery060725MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.