SOUTHWEST NEURODIAGNOSTIC SERVICES LLC (NPI# 1497182430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497182430 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST NEURODIAGNOSTIC SERVICES LLC |
| Practice Address |
4801 Lang Ave Ne Ste 110 Albuquerque NM 87109-4474 |
| Mailing Address |
Po Box 59001 Dept 4022 Tulsa OK 74159-9001 |
| Practice Telephone | 5059991008 |
| Practice Fax Number | 8776888872 |
| Mailing Telephone | 5059991008 |
| Mailing Fax Number | 8776888872 |
| Enumeration Date | 2013-10-05 |
| Last Update Date | 2015-06-03 |
| Authorized Official Name | STEVE THOMAS (DIRECTOR/OFFICER) |
| Authorized Official Telephone | 9187435552 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962822783 | Southwest Neurodiagnostic Services LLC | Neurological Surgery | 2150 S Central Expy, Ste 200, Mckinney, TX 75070-4070 | 2014-04-19 |
| Street Address |
4801 LANG AVE NE STE 110 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235181199 | Gloria Isabel Gerstner | Podiatrist | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2006-05-17 |
| 1386014769 | Nm 01 Palliative Care Services Pllc | In Home Supportive Care | 4801 Lang Ave Ne, Suite 200a, Albuquerque, NM 87109-4474 | 2015-09-29 |
| 1982960456 | Aspen Neurosurgery and Spine Associates, P.C. | Neurological Surgery | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2012-04-09 |
| 1043538259 | Electrostim Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2010-05-12 |
| 1154595825 | Synergy Wellness Center LLC | Clinic/Center | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2008-04-14 |
| 1508039538 | Isabel Guerrero | Health Maintenance Organization | 4801 Lang Ave Ne, Albuquerque, NM 87109-4474 | 2008-04-10 |
| 1144413816 | Barbara P. Caldwell | Counselor | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2007-08-24 |
| 1750428256 | Bw Counseling LLC | Counselor | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2007-01-31 |
| 1215033097 | Hospice Care of The West LLC | Hospice Care, Community Based | 4801 Lang Ave Ne, Suite 100, Albuquerque, NM 87109 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| 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 |
|---|---|---|---|---|
| 1669929485 | Avra Sophia Saskia Laarakker | Neurological Surgery | Msc Plastic Surgery 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-09 |
| 1447639109 | Ross Steven Green | Neurological Surgery | Msc10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-27 |
| 1023315959 | Gerald Nathan Gold | Neurological Surgery | 1509 Harvard Ct Ne, Albuquerque, NM 87106-3712 | 2011-02-10 |
| 1487897542 | Christian Andrew Bowers | Neurological Surgery | Unm Neurosurgery Msc10 5615, Albuquerque, NM 87131-1530 | 2009-04-19 |
| 1609076660 | Patricia L Gando | Neurological Surgery | Graduate Medical Education Msc08 4770, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-07-18 |
| 1730228750 | Hoan Phan Tran | Neurological Surgery | Unm Hospital Neurological Surgery, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| 1568522035 | Peter C. Shin | Neurological Surgery | Msc 10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-12-12 |
| 1386650877 | Paul Turner | Neurological Surgery | 5-north University Hospital, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1700806452 | Imran K Alam | Neurological Surgery | Department of Neurosurgery, Msc 10 5615, Albuquerque, NM 87131-0001 | 2006-07-19 |
| 1114924024 | Southwest Neurosurgical Associates PC | Neurological Surgery | 8080 Academy Rd Ne, Suite B, Albuquerque, NM 87111-1159 | 2005-07-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SOUTHWEST NEURODIAGNOSTIC SERVICES LLC.
| 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.