MIDWEST INNOVATIVE NEURODIAGNOSTICS LLP (NPI# 1255962098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255962098 |
| Entity Type | Organization |
| Organization Name | MIDWEST INNOVATIVE NEURODIAGNOSTICS LLP |
| Practice Address |
1766 Ross Ave Saint Paul MN 55106-4237 |
| Mailing Address |
Po Box 403 Lakeville MN 55044-0403 |
| Practice Telephone | 6127308028 |
| Mailing Telephone | 8664476463 |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-03-30 |
| Authorized Official Name | MEAGAN WEITZEL (PARTNER) |
| Authorized Official Telephone | 6127308028 |
| Authorized Official Credential | R.EEG.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians | ||
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1766 ROSS AVE |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275867491 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 7300 Hudson Blvd N, Suite 220, Oakdale, MN 55128-7141 | 2009-09-21 |
| 1841537271 | Barbara Tetzlaff | Specialist/Technologist, Other | 800 E 28th St, Minneapolis, MN 55407-3723 | 2013-01-04 |
| City | SAINT PAUL |
| Zip Code | 55106 |
Please comment or provide details below to improve the information on MIDWEST INNOVATIVE NEURODIAGNOSTICS LLP.
| 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.