KELSO NEUROMONITORING PLLC (NPI# 1093270522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093270522 |
| Entity Type | Organization |
| Organization Name | KELSO NEUROMONITORING PLLC |
| Practice Address |
10981 N Camino De Oeste Tucson AZ 85742-9121 |
| Mailing Address |
Dept # 880323 Po Box 29650 Phoenix AZ 85038-9650 |
| Practice Telephone | 8003107334 |
| Mailing Telephone | 8003107334 |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | TIMOTHY K PUTTY (SOLE MEMBER) |
| Authorized Official Telephone | 8003107334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICAL LICENSE | 20640 | 01 |
| Street Address |
10981 N CAMINO DE OESTE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85742-9121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889820 | Oro Valley Hospital LLC | Clinic/Center | 6350 W Marana Center Blvd, Tucson, AZ 85742 | 2018-01-24 |
| 1962913210 | Patti Sue Speck | Speech-Language Pathologist | Wilson K-8 School, 2330 W. Glover Rd, Tucson, AZ 85742 | 2017-10-13 |
| 1265664312 | Orthomed, LLC | Physical Therapist | 8770 N. Thornydale Rd, Suite 100, Tucson, AZ 85742 | 2009-08-21 |
| 1356582688 | Christian Peters D.o.p.c. | General Practice | 6070 W. Desert Marigold Ln, Tucson, AZ 85742 | 2009-03-17 |
| 1235308834 | Presidio Dental Pllc | Dentist | 8740 Thornydale Road, Suite 100, Tucson, AZ 85742 | 2008-02-27 |
| 1700907961 | Rachel E Lohrman | Technician | 3085 W Country Hill Dr, Tucson, AZ 85742 | 2007-04-03 |
| 1386765188 | Adena B. Lees | Social Worker | 2292 West Magee Rd., Suite 260, Tucson, AZ 85742 | 2007-04-02 |
| 1548303563 | Jimmy Dale Stout | Specialist | 8960 N Agate Place, Tucson, AZ 85742 | 2007-02-15 |
| 1386700441 | Loretta Rose Kramer | Counselor | 10455 N Gila Rd, Tucson, AZ 85742 | 2006-12-30 |
| 1164580189 | Larry Alan Shipley | Chiropractor | 2292 W Magee Rd Suite 170, Shipley Chiropractic, Tucson, AZ 85742 | 2006-12-04 |
| Find all providers in zip 85742 | ||||
| Taxonomy Code | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952900565 | Kayla Mckenna Meyers | Electrodiagnostic Medicine | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2020-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337065 | Arizona Neuromonitoring, LLC | Electrodiagnostic Medicine | 3317 S Higley Rd Ste 114-403, Gilbert, AZ 85297-5459 | 2020-05-13 |
| 1770148033 | Precision Emg & Ncv LLC | Electrodiagnostic Medicine | 9787 N 91st St Ste 101a, Scottsdale, AZ 85258-5088 | 2019-05-02 |
| 1255805388 | Columbia Iom, LLC | Electrodiagnostic Medicine | 125 N 2nd St Ste 110-154, Phoenix, AZ 85004-2422 | 2019-01-11 |
| 1447767181 | Restore Vitality Center | Electrodiagnostic Medicine | 8133 W Heatherbrae Dr, Phoenix, AZ 85033-2336 | 2018-01-03 |
| 1447760061 | Mjw Medical Solutions, Pllc | Electrodiagnostic Medicine | 8226 E Appaloosa Trl, Scottsdale, AZ 85258-1305 | 2017-10-10 |
| 1780038554 | Neurospine Associates, Pllc | Electrodiagnostic Medicine | 1900 W Chandler Blvd Ste 15, #143, Chandler, AZ 85224-8600 | 2016-04-19 |
| 1144584814 | Physicians Choice Neuro Diagnostics LLC | Electrodiagnostic Medicine | 2813 E Camelback Rd Ste 430, Phoenix, AZ 85016-4337 | 2012-06-27 |
| 1982217626 | Surgery Neuromonitoring Services, LLC | Electrodiagnostic Medicine | 9735 N 90th Pl, Scottsdale, AZ 85258-5067 | 2020-08-24 |
| 1255966164 | Central Neuromonitoring Services, Pllc | Electrodiagnostic Medicine | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-03-11 |
| 1033650510 | Grand Canyon Neurology, Pllc | Electrodiagnostic Medicine | 125 N 2nd St Ste 110, #442, Phoenix, AZ 85004-2427 | 2017-03-16 |
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| 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.