NORTH CENTRAL NEUROLOGY, LLC (NPI# 1134262595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134262595 |
| Entity Type | Organization |
| Organization Name | NORTH CENTRAL NEUROLOGY, LLC |
| Other Organization Name | JOHN A GALEA, M.D. |
| Practice Address |
621 Memorial Dr Suite 624 South Bend IN 46601-1063 |
| Practice Telephone | 5742880215 |
| Practice Fax Number | 5742880158 |
| Mailing Telephone | 5742880215 |
| Mailing Fax Number | 5742880158 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-08-03 |
| Authorized Official Name | MRS. SUZANNE GALEA (OFFICE MANAGER) |
| Authorized Official Telephone | 5742880215 |
| Authorized Official Credential | MEDICAL ASSISTAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
01030000 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000357987 | 01 |
| IN | 100261570 | 05 |
| Other Name | Type Code |
|---|---|
| John A Galea, M.D. | Doing Business As Name - Organization |
| Street Address |
621 MEMORIAL DR SUITE 624 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003818212 | John L Jenkins | Specialist | 621 Memorial Dr, Ste 502, South Bend, IN 46601-1075 | 2005-06-01 |
| 1447783188 | Khonnah Weithers | Nurse Practitioner | 621 Memorial Dr, Suite 512, South Bend, IN 46601-1063 | 2017-04-10 |
| 1619388717 | Sarah Ann Holewczynski | Registered Nurse | 621 Memorial Dr, Ste 617, South Bend, IN 46601-1063 | 2014-05-12 |
| 1518302264 | Beacon Medical Group, Inc. | Nurse Practitioner | 621 Memorial Dr, Suite 602, South Bend, IN 46601-1063 | 2013-05-08 |
| 1255620985 | David L. Clayton Md Inc | Family Medicine | 621 Memorial Dr, Suite 624, South Bend, IN 46601-1063 | 2011-04-04 |
| 1477873644 | Rebecca M Castro | Nurse Practitioner | 621 Memorial Dr, Ste 502, South Bend, IN 46601-1063 | 2010-06-10 |
| 1508191768 | Allied Physicians of Michiana, LLC | Surgery | 621 Memorial Dr, Suite 302, South Bend, IN 46601-1063 | 2009-10-06 |
| 1841434354 | Kelly Elizabeth Mortell | Radiology | 621 Memorial Dr, Ste 312, South Bend, IN 46601-1063 | 2009-04-28 |
| 1659543643 | William Hanley | Nurse Practitioner | 621 Memorial Dr, Suite 502, South Bend, IN 46601-1063 | 2008-03-31 |
| 1619015534 | Beacon Medical Group, Inc. | Specialist | 621 Memorial Dr, Suite 502, South Bend, IN 46601-1063 | 2007-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861421141 | Beacon Medical Group, Inc. | Psychiatry & Neurology | 100 Navarre Pl Ste 6600, South Bend, IN 46601 | 2006-06-30 |
| 1821024043 | Virgil A Dibiase | Psychiatry & Neurology | 707 N Michigan St Ste 102, South Bend, IN 46601-1068 | 2006-06-23 |
| 1316936123 | John G Aranda | Psychiatry & Neurology | 1619 E Colfax Ave, South Bend, IN 46617-2603 | 2005-10-14 |
| 1528201076 | Thomas Leahy | Psychiatry & Neurology | 112 W Jefferson Blvd, Ste 600, South Bend, IN 46601-1923 | 2009-04-14 |
| 1134378375 | Satya N Ramiah | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2008-09-11 |
| 1528274313 | Edward Daniel Nusbaum | Psychiatry & Neurology | 403 E Madison St, South Bend, IN 46617-2322 | 2007-05-16 |
| 1336352806 | Jose Luis Lopez Jr. | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2007-05-08 |
| 1720016926 | James W Kozelka | Psychiatry & Neurology | 707 N Michigan St Ste 102, South Bend, IN 46601-1068 | 2006-06-28 |
| 1033165428 | Kathryn A. Hanlon | Psychiatry & Neurology | 1815 E Ireland Rd, South Bend, IN 46614-2845 | 2006-05-26 |
| 1043208739 | Bridget Patterson-marshall | Psychiatry & Neurology | 615 N Michigan St, South Bend, IN 46601-1033 | 2005-10-07 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.