NEUROSPINE AND ENDOVASCULAR CENTER LLC (NPI# 1275157943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275157943 |
| Entity Type | Organization |
| Organization Name | NEUROSPINE AND ENDOVASCULAR CENTER LLC |
| Practice Address |
10500 W Loomis Rd Ste 120 Franklin WI 53132-8030 |
| Mailing Address |
10500 W Loomis Rd Ste 130 Franklin WI 53132-8030 |
| Practice Telephone | 4144881111 |
| Mailing Telephone | 4144881111 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | DR. ARVIND AHUJA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4144881111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
10500 W LOOMIS RD STE 120 |
| City | FRANKLIN |
| State | WI |
| Zip Code | 53132-8030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063495000 | Neurosurgery and Endovascular Assoc. Sc. | Radiologic Technologist | 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8030 | 2005-11-23 |
| 1972703031 | Pediatric Diagnostic Imaging, S.c. | Clinic/Center | 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8111 | 2007-07-18 |
| 1437110855 | Christ A Walker | Physician Assistant | 10500 W Loomis Rd Ste 120, Franklin, WI 53132-8030 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568014405 | Michelle L. Lamers, D.d.s, L.L.C. | Dentist | 7111 S 76 Street, Franklin, WI 53132 | 2019-07-11 |
| 1649833765 | Lori A Mansur | Registered Nurse | 6580 S. 46th St., Franklin, WI 53132 | 2019-04-15 |
| 1619496296 | Emily Ninnemann | Occupational Therapist | 8940 S. 51st St, Franklin, WI 53132 | 2017-09-14 |
| 1639532526 | Rinal Patel | Emergency Medicine | 9200 W Loomis Rd Ste 212, Franklin, WI 53132 | 2016-03-30 |
| 1174980098 | Lisa Obrien | Registered Nurse | 3111 W Rawson Ave Ste 210, Franklin, WI 53132 | 2016-01-22 |
| 1528446713 | Jonathan Shih | Podiatrist | 9200 W Loomis Rd Ste 116, Franklin, WI 53132 | 2015-05-08 |
| 1275940769 | Tristan Krause | Nurse Practitioner | 4225 W. Oakwood Park Court, Franklin, WI 53132 | 2014-07-16 |
| 1922344613 | Vital Imaging, LLC | Clinic/Center | 10500 W. Loomis Rd., Ste 130, Franklin, WI 53132 | 2012-12-27 |
| 1013285311 | Jill Barth | Pharmacist | 7130 South 76th Street, Franklin, WI 53132 | 2011-12-01 |
| 1235417783 | Hilary Megan Mayne | Dentist | 6855 South 27th St, Franklin, WI 53132 | 2011-08-02 |
| Find all providers in zip 53132 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639197320 | Orthopedics & Sports Medicine Assoc of W Pa PC | Neurological Surgery | 44 Circle Street, Franklin, PA 16323 | 2006-07-18 |
| 1801857297 | Arvind Ahuja | Neurological Surgery | 10500 W Loomis Rd Ste 130, Franklin, WI 53132-8030 | 2006-03-28 |
| 1083195010 | Gadeer Ayesh | Neurological Surgery | 10500 W Loomis Rd, Franklin, WI 53132-8030 | 2018-08-27 |
| 1013004118 | Frances B Kopecky | Neurological Surgery | 4323 Carothers Pkwy, Suite 609, Franklin, TN 37067-5914 | 2006-10-09 |
| 1518931559 | John M Karian | Neurological Surgery | 44 Circle St, Franklin, PA 16323-2509 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350436 | Craig R Kelman | Neurological Surgery | 425 Pine Ridge Blvd Ste 300, Wausau, WI 54401 | 2011-05-11 |
| 1952545014 | Irene Kim | Neurological Surgery | 999 N 92nd St Ste 310, Milwaukee, WI 53226-4875 | 2009-04-20 |
| 1649419169 | Walter P Jacobsen | Neurological Surgery | 2801 W Kinnickinnic River Pkwy Ste 680, Milwaukee, WI 53215-3669 | 2009-02-05 |
| 1538324793 | Jose Luis Salazar | Neurological Surgery | 3220 N Shore Dr, Delavan, WI 53115-3800 | 2008-07-26 |
| 1205094711 | Bruce Clarke Bressler | Neurological Surgery | 3117 Bay View Dr, Green Bay, WI 54311-5909 | 2008-05-30 |
| 1154506921 | Werner E Langheim | Neurological Surgery | 4505 Fox Bluff Lane, Middleton, WI 53562-2327 | 2007-12-29 |
| 1427251339 | Pedro Daniel Suberviola | Neurological Surgery | 3255 Yale Ct, Brookfield, WI 53005-2772 | 2007-06-07 |
| 1831212778 | Allan Bertram Levin | Neurological Surgery | 4585 Fox Bluff Ln, Middleton, WI 53562-2327 | 2007-04-07 |
| 1013093178 | Cully R White | Neurological Surgery | 2901 W Kinnickinnic River Parkway, Suite 201, Milwaukee, WI 53215 | 2006-10-31 |
| 1538269402 | Christopher I. Mackay | Neurological Surgery | 2800 Westhill Dr., Suite 200, Wausau, WI 54407-3770 | 2006-09-22 |
| Find all providers with the same taxonomy | ||||
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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.