CENTRAL NEUROMONITORING SERVICES, PLLC (NPI# 1255966164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255966164 |
| Entity Type | Organization |
| Organization Name | CENTRAL NEUROMONITORING SERVICES, PLLC |
| Practice Address |
2266 S Dobson Rd Ste 200 Mesa AZ 85202-6412 |
| Practice Telephone | 4809246487 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Authorized Official Name | BRANDI MILLIGAN (DIRECTOR CLIENT EXPERIENCE) |
| Authorized Official Telephone | 2105982800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2266 S DOBSON RD STE 200 |
| City | MESA |
| State | AZ |
| Zip Code | 85202-6412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801214747 | Nathan John Cloutier | Nurse Practitioner | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2014-03-28 |
| 1538760327 | Dakota Hagood | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-11-06 |
| 1821695271 | Andrew Adcroft | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-10-07 |
| 1619583556 | Yasmine Swannigan | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-09-16 |
| 1295346054 | Cathrine Grizzanti | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-08-13 |
| 1568073419 | Nadia Lafrance | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-08-13 |
| 1285245043 | Samuel Garcia | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-08-13 |
| 1497364186 | Payton Sills | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-07-28 |
| 1053920736 | Diana Siordia | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-07-28 |
| 1811506595 | Sierra Van Laethem | Behavior Technician | 2266 S Dobson Rd Ste 200, Mesa, AZ 85202-6412 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| 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 |
|---|---|---|---|---|
| 1750921508 | Red Rock Interoperative Neuromonitoring LLC | Psychiatry & Neurology | 3800 N Central Ave Ste 460, Phoenix, AZ 85012-1995 | 2020-01-09 |
| 1194217596 | Aegis Iom, Pllc | Psychiatry & Neurology | 5323 E Palomino Rd, Phoenix, AZ 85018-1911 | 2018-05-31 |
| 1477749091 | M.a.nayer, M.d.,p.c. | Psychiatry & Neurology | 3015 Hiway 95, Suite 109, Bullhead City, AZ 86442-4334 | 2007-09-18 |
| 1033107628 | Kamal R. Rastogi | Psychiatry & Neurology | 1925 W Orange Grove Rd Suite 200, Tucson, AZ 85704 | 2005-10-09 |
| 1730651738 | Banner Alzheimer's Institute | Psychiatry & Neurology | 3838 N Campbell Ave Bldg 2, Tucson, AZ 85719-1478 | 2019-01-02 |
| 1487972626 | Robert Jeremy Cox | Psychiatry & Neurology | 111 N Dupont Cir, Phoenix, AZ 85034-1803 | 2010-05-12 |
| 1497918502 | Shruti Badhwar | Psychiatry & Neurology | 2122 E Highland Ave Ste 100, Phoenix, AZ 85016-4740 | 2008-07-08 |
| 1679781652 | Ajo Joy | Psychiatry & Neurology | 3507 S Mercy Rd, Suite 101, Gilbert, AZ 85297-0441 | 2007-05-21 |
| 1083761126 | Arizona Neurological Institute | Psychiatry & Neurology | 10474 W Thunderbird Blvd, Suite 200, Sun City, AZ 85351-3023 | 2007-01-04 |
| 1881786150 | Jennifer Suzanne Gunther | Psychiatry & Neurology | 3601 S 6th Ave, Tucson, AZ 85723-2700 | 2006-09-28 |
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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.