DYAMIC NEUROMONITORING, LLC (NPI# 1174043525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174043525 |
| Entity Type | Organization |
| Organization Name | DYAMIC NEUROMONITORING, LLC |
| Practice Address |
208 W Gloria Switch Rd Lafayette LA 70507-3409 |
| Mailing Address |
Po Box 91180 Lafayette LA 70509-1180 |
| Practice Telephone | 3378865440 |
| Practice Fax Number | 3378869983 |
| Mailing Telephone | 3378865440 |
| Mailing Fax Number | 3378869983 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | MR. RON NEZAT (CEO) |
| Authorized Official Telephone | 3378865440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
208 W GLORIA SWITCH RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70507-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801070859 | Cinderella Marie Broussard | Registered Nurse | 208 W Gloria Switch Rd, Lafayette, LA 70507-3409 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043724107 | Danielle Bias | Counselor | 106 Smalley Rd, Lafayette, LA 70507 | 2017-11-28 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1174045504 | Mia Collins | Case Manager/Care Coordinator | 315 Amesbury Dr Apt 357, Lafayette, LA 70507 | 2017-07-07 |
| 1942739792 | Precious Charles | Counselor | 200 Buttercup Dr Apt 613, Lafayette, LA 70507 | 2017-06-06 |
| 1346633831 | Minute Med Clinic - Pont De Mouton LLC | Clinic/Center | 104 Banister Court, Suite 1c, Lafayette, LA 70507 | 2015-03-09 |
| 1134559578 | Britt Elliott Martin | Pharmacist | 920 West Gloria Switch Road, Lafayette, LA 70507 | 2013-11-21 |
| 1801130877 | Barney Joseph Fusilier Jr. | Pharmacist | 920 W. Gloria Switch Rd., Walgreens, Lafayette, LA 70507 | 2012-11-15 |
| 1508140773 | Joseph Kenneth Vizena | Pharmacist | 3754 Moss Street, Lafayette, LA 70507 | 2011-10-05 |
| 1629177399 | Kevin Lyle Francois | Pharmacist | 3803-f Moss St, Lafayette, LA 70507 | 2006-09-21 |
| 1821024563 | Vermilion Hospital LLC | Psychiatric Hospital | 2520 N. University Ave, Lafayette, LA 70507 | 2006-06-24 |
| Find all providers in zip 70507 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528523016 | Acadiana Neurological Monitoring, LLC | Specialist/Technologist, Other | 516 Verot School Rd Ste A, Lafayette, LA 70508-5026 | 2019-02-08 |
| 1861976169 | Noble Neurodiagnostic Services, LLC | Specialist/Technologist, Other | 205 Calcasieu Xing, Lafayette, LA 70506-7873 | 2018-09-21 |
| 1073991493 | Alexandra Lee Mckowen | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2015-05-18 |
| 1912433970 | Steven Schneider | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2017-05-11 |
| 1881120103 | Bryan Gottshall | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2017-05-05 |
| 1376077883 | Kyler Blaine Folse | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2017-04-12 |
| 1851847479 | Kyle Lambeth | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-09-01 |
| 1356796221 | Yoyanda Carroll | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-04-28 |
| 1811351828 | Jennifer Schwartz | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-04-06 |
| 1689035156 | Harrison Adams | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2016-03-11 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on DYAMIC NEUROMONITORING, LLC.
| 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.