NEUROSERVICE OF PENNSYLVANIA PC (NPI# 1487189692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487189692 |
| Entity Type | Organization |
| Organization Name | NEUROSERVICE OF PENNSYLVANIA PC |
| Practice Address |
5990 University Blvd Pmb # 198 Moon Township PA 15108-4229 |
| Practice Telephone | 4122263071 |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | DR. THOMAS RALEY (PRESIDENT) |
| Authorized Official Telephone | 4122263071 |
| Authorized Official Credential | M.D. |
| 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 |
5990 UNIVERSITY BLVD PMB # 198 |
| City | MOON TOWNSHIP |
| State | PA |
| Zip Code | 15108-4229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608862 | Jason Bartolowits | Pharmacist | 5990 University Blvd, Moon Township, PA 15108-4229 | 2020-04-18 |
| 1477966430 | Julie Marie Styche | Pharmacist | 5990 University Blvd, Suite #30, Moon Township, PA 15108-4229 | 2014-06-08 |
| 1619281839 | Joseph James Ball Sr. | Pharmacist | 5990 University Blvd, Suite 30, Moon Township, PA 15108-4229 | 2010-07-29 |
| 1649435157 | Rebecca G Helbus | Pharmacist | 5990 University Blvd, Moon Township, PA 15108-4229 | 2008-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550082 | Erin Larue | Counselor | 1010 Brodhead Rd., 2nd Floor, Moon Township, PA 15108 | 2020-05-27 |
| 1457986721 | Favored Wellness Counseling and Consulting, LLC | Counselor | 1010 Broadhead Road, 2nd Floor, Moon Township, PA 15108 | 2020-03-07 |
| 1023597937 | Jessica Marie Neff | Pharmacist | 217 Beagle Drive, Moon Township, PA 15108 | 2018-08-10 |
| 1992281125 | Aurora Recovery Services, LLC | Family Medicine | 993 Brodhead Rd Ste 201, Moon Twp, PA 15108 | 2018-07-11 |
| 1134611916 | Michaela Marie Stubna | Occupational Therapy Assistant | 54 Long Valley, Coraopolis, PA 15108 | 2018-06-06 |
| 1063924520 | Tammy Lynne Rink | Counselor | 1555 Brodhead Rd, Moon Township, PA 15108 | 2017-10-24 |
| 1194243584 | Anthony Joseph Decarlo | Specialist/Technologist | 48 Laurel Ridge Rd, Coraopolis, PA 15108 | 2017-09-06 |
| 1114479102 | Daniel R Fuller Jr. | Pharmacist | 7500 Univsersity Blvd., Moon Township, PA 15108 | 2016-10-26 |
| 1043768823 | Kelsey Kelleher | Physical Therapist | 100 Corporate Center Dr Ste 115, Coraopolis, PA 15108 | 2016-09-21 |
| 1518325208 | Elizabeth Thomeier Dornetto | Counselor | 993 Brodhead Rd Ste 203, Coraopolis, PA 15108 | 2016-02-09 |
| Find all providers in zip 15108 | ||||
| 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 |
|---|---|---|---|---|
| 1366968703 | Joshua Karl Kutinsky | Psychiatry & Neurology | 1528 Walnut St Ste 1500, Philadelphia, PA 19102-3611 | 2017-08-17 |
| 1609146398 | Lawrence Green | Psychiatry & Neurology | 315 Maple Ave, Swarthmore, PA 19081-1412 | 2012-01-11 |
| 1861609711 | Eric M Levin Md | Psychiatry & Neurology | 144 S 8th St Ste 101, Chambersburg, PA 17201-2752 | 2007-05-17 |
| 1477592335 | Charles J Bae | Psychiatry & Neurology | 3624 Market St Ste 201, Philadelphia, PA 19104-2614 | 2006-06-06 |
| 1750383246 | Eric Marc Levin | Psychiatry & Neurology | 901 E Mckinley St, Chambersburg, PA 17201-2823 | 2005-08-15 |
| 1801417126 | Capital Neurology | Psychiatry & Neurology | 4250 Crums Mill Rd Ste 102, Harrisburg, PA 17112-2889 | 2020-04-27 |
| 1902267230 | Methodist Associates In Healthcare, Inc. | Psychiatry & Neurology | 2301 S Broad St, Philadelphia, PA 19148-3542 | 2016-03-15 |
| 1982015186 | Sergiu Abramovici | Psychiatry & Neurology | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2014-05-11 |
| 1689011207 | James Francis Castellano | Psychiatry & Neurology | 3471 5th Ave Ste 810, Pittsburgh, PA 15213 | 2013-05-23 |
| 1083963169 | Anthony Storm Junod | Psychiatry & Neurology | 200 Scenery Dr, State College, PA 16801 | 2012-09-05 |
| Find all providers with the same taxonomy | ||||
| City | MOON TOWNSHIP |
| Zip Code | 15108 |
Please comment or provide details below to improve the information on NEUROSERVICE OF PENNSYLVANIA PC.
| 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.