INNERVATE NEUROPHYSIOLOGY (NPI# 1134666159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134666159 |
| Entity Type | Organization |
| Organization Name | INNERVATE NEUROPHYSIOLOGY |
| Other Organization Name | INNERVATE NEURO |
| Practice Address |
6400 Baltimore National Pike #348 Baltimore MD 21228-3930 |
| Practice Telephone | 2026708843 |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2017-01-28 |
| Authorized Official Name | JAMES SILVA (PRINCIPAL) |
| Authorized Official Telephone | 2026708843 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Innervate Neuro | Other Name - Individual/Organization |
| Street Address |
6400 BALTIMORE NATIONAL PIKE #348 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386068153 | James Silva | Specialist/Technologist, Other | 6400 Baltimore National Pike, #348, Baltimore, MD 21228-3930 | 2014-02-13 |
| 1356519433 | Dr. Sharon Denise Ringgold | Durable Medical Equipment & Medical Supplies | 6400 Baltimore National Pike, #124, Baltimore, MD 21228-3930 | 2008-02-12 |
| 1245389014 | Sharon Denise Ringgold | Podiatrist | 6400 Baltimore National Pike, #124, Baltimore, MD 21228-3930 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518293695 | Joon-yi Kang | Psychiatry & Neurology | 600 N Wolfe St, Meyer 2-147, Baltimore, MD 21287-0005 | 2009-10-26 |
| 1225276702 | The Good Samaritan Hospital of Maryland, Inc. | Psychiatry & Neurology | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-01-22 |
| 1174788137 | Family & Children's Services of Central Md | Psychiatry & Neurology | 4623 Falls Rd, Baltimore, MD 21209-4914 | 2008-07-18 |
| 1861417545 | Greater Baltimore Medical Center, Inc. | Psychiatry & Neurology | 6701 N Charles St, Dept of Neurology, Baltimore, MD 21204-6808 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588701023 | Tanya J. Lehky | Psychiatry & Neurology | 10 Center Drive Nih, Building 10, Crc, Room 7-5680, Bethesda, MD 20892-0001 | 2007-02-01 |
| 1003978040 | Margaret Adams | Psychiatry & Neurology | 8388 Court Ave Ste 203, Ellicott City, MD 21043-4514 | 2006-12-15 |
| 1144395393 | Neuromonitoring Physicians, LLC | Psychiatry & Neurology | 9115 Kendale Rd, Potomac, MD 20854-4512 | 2006-11-22 |
| 1740393628 | Robert Joseph Hedaya | Psychiatry & Neurology | 7717 Oldchester Rd, Bethesda, MD 20817-6277 | 2006-08-16 |
| 1902880560 | Samina Anwar | Psychiatry & Neurology | 235 Mill St, Suite 1, Hagerstown, MD 21740-6114 | 2005-12-06 |
| 1336383835 | Lanham Neuro Science Center LLC | Psychiatry & Neurology | 9801 Greenbelt Rd, Suite 101, Lanham, MD 20706-2273 | 2009-04-28 |
| 1912166430 | Advanced Neurology and Sleep Center of Frederick | Psychiatry & Neurology | 174 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4423 | 2008-06-09 |
| 1578628814 | Melvin Woodao Kong | Psychiatry & Neurology | 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207 | 2006-12-27 |
| 1093817983 | Samuel Goldberg | Psychiatry & Neurology | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2006-09-02 |
| 1447366349 | Mark Evan Landau | Psychiatry & Neurology | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20815 | 2006-08-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INNERVATE NEUROPHYSIOLOGY.
| 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.