SUMMIT NEUROMONITORING LLC


Address: 5823 Blue Mountain Cir, Longmont, CO 80503-2710
Phone: 7204389056

SUMMIT NEUROMONITORING LLC (NPI# 1457729501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457729501
Entity Type Organization
Organization Name SUMMIT NEUROMONITORING LLC
Practice Address 5823 Blue Mountain Cir
Longmont
CO 80503-2710
Practice Telephone 7204389056
Mailing Telephone 7204389056
Enumeration Date 2015-09-07
Last Update Date 2015-09-07
Authorized Official Name MATTHEW GERLACH (PRESIDENT)
Authorized Official Telephone 7204389056
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
44589 CO Technologists, Technicians & Other Technical Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861011355 Summit Neuromonitoring LLC Specialist/Technologist, Other Dept 1137, Tulsa, OK 74182-0001 2020-04-14

Office Location

Street Address 5823 BLUE MOUNTAIN CIR
City LONGMONT
State CO
Zip Code 80503-2710

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1427368299 Sally Anne Thompson Specialist 3664 Oakwood Drive, Longmont, CO 80503 2010-10-14
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1104155381 Adrienne R. Leeds Midwife 1736 Clover Creek Dr, Longmont, CO 80503 2009-12-16
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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1073135794 Denise Hostetler Specialist/Technologist, Other 1861 Castlewood Dr, Franktown, CO 80116-9009 2020-05-15
1447887898 Altitude Neuromonitoring, LLC Specialist/Technologist, Other 236 E Rabbit Ct, Silverthorne, CO 80498-9209 2020-03-25
1518597855 Intact Neuromonitoring, LLC Specialist/Technologist, Other 3295 Blake St Apt 304, Denver, CO 80205-2469 2020-01-24
1538635982 Casey Ryko Jestrovich Specialist/Technologist, Other 2318 Hall Ave, Grand Junction, CO 81501-6234 2018-10-23
1376019679 Taylor Kaufman Specialist/Technologist, Other 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 2018-10-15
1598246282 Multiverse Surgical, LLC Specialist/Technologist, Other 2085 Driver Ln, Erie, CO 80516-4707 2018-08-22
1003301979 Spencer Pankratz Specialist/Technologist, Other 4600 S Ulster St Ste 125, Denver, CO 80237-2848 2018-06-24
1780174169 Nervepro Specialist/Technologist, Other 79 County Road 4103, Granby, CO 80446 2018-05-11
1871000588 Peak Neuro Monitoring LLC Specialist/Technologist, Other 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 2018-01-03
1548792401 Breanna Singleton Specialist/Technologist, Other 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 2017-03-30
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Competitor

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City LONGMONT
Zip Code 80503

Improve Information

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Dataset Information

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.

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