INTEGRATIVE NEUROLOGY, P.A. (NPI# 1538200704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538200704 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE NEUROLOGY, P.A. |
| Practice Address |
2000 S Fm 51 Suite A Decatur TX 76234-3702 |
| Practice Telephone | 9406261870 |
| Practice Fax Number | 9406261871 |
| Mailing Telephone | 9406261870 |
| Mailing Fax Number | 9406261871 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | DR. WILLIAM GRIMES (PRESIDENT) |
| Authorized Official Telephone | 9406261870 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
F5926 | TX | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
F5926 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0020NP | 01 |
| TX | MEDICARE RR | DE4924 | 01 |
| TX | PENDING | 05 |
| Street Address |
2000 S FM 51 SUITE A |
| City | DECATUR |
| State | TX |
| Zip Code | 76234-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659439 | Chris E Mcgee | Family Medicine | 2000 S Fm 51, Decatur, TX 76234-3702 | 2005-06-16 |
| 1881105559 | Johnathan Joel Swofford | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234 | 2017-10-20 |
| 1821543646 | Alicia Mccue | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234-3702 | 2016-08-22 |
| 1417215989 | North Texas Area Community Health Centers, Inc. | Clinic/Center | 2000 S Fm 51, Suite D, Decatur, TX 76234-3702 | 2012-05-02 |
| 1700180197 | Wanda R Villard | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234-3702 | 2010-12-29 |
| 1790006252 | Chris Mcgee Md Pa | Family Medicine | 2000 S Fm 51, Decatur, TX 76234-3702 | 2010-06-18 |
| 1154646917 | Camille N Cobb | Nurse Practitioner | 2000 S Fm 51, Decatur, TX 76234-3702 | 2010-04-05 |
| 1467614768 | Haroon Siddique, Md, Pa | Psychiatric Unit | 2000 S Fm 51, Decatur, TX 76234-3702 | 2008-06-27 |
| 1760659825 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, Decatur, TX 76234-3702 | 2008-05-08 |
| 1902077746 | Neurospectrum, Ltd. | Contractor | 2000 S Fm 51, C/o Sleep Specialties, West Campus, Decatur, TX 76234-3702 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102028 | Ursula Eileen Fernandez-plata | Technician | 1221 Cr 4371, Decatur, TX 76234 | 2019-09-06 |
| 1649772377 | Stephanie Jennie Roddenberry | Nurse Practitioner | 2301 S Fm 51 Ste 500, Decatur, TX 76234 | 2018-03-08 |
| 1467731679 | David Gatti Corless | Dentist | 301 W. Main St., Decatur, TX 76234 | 2011-08-05 |
| 1376830067 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 805 W Business Hwy 380, Decatur, TX 76234 | 2011-07-01 |
| 1356667844 | Richard Ryan Ooten | Specialist/Technologist, Other | 239 Harvey Lane, Decatur, TX 76234 | 2010-04-09 |
| 1003049032 | Advanced Gastroenterology Associates, Pa | Internal Medicine | 607 Medical Center Drive, Suite 2600, Decatur, TX 76234 | 2009-08-25 |
| 1831346188 | Rufus John Nelson | Dentist | 1710 S Hwy 51 Ste 20,pmb #176, 1000 W Business Hwy 380, Decatur, TX 76234 | 2008-08-19 |
| 1851558449 | James Lee Hendrick | Counselor | 2304 Fm 51 South, Decatur, TX 76234 | 2008-05-21 |
| 1891964995 | Sheryl A White | Counselor | 1106 E Business Hwy 380, Decatur, TX 76234 | 2008-02-22 |
| 1366625022 | Tower Mutual Holding Company, Inc. | Durable Medical Equipment & Medical Supplies | 206 N. State Street, Decatur, TX 76234 | 2007-12-17 |
| Find all providers in zip 76234 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912140401 | Sonya M Soliman | Psychiatry & Neurology | 1215 7th St Se Ste 260, Decatur, AL 35601-3399 | 2009-04-13 |
| 1356418586 | Douglas James Dove | Psychiatry & Neurology | Two Memorial Drive, Suite 200, Decatur, IL 62526-1590 | 2006-11-30 |
| 1104835412 | Sherry A Reid | Psychiatry & Neurology | 1770 E Lake Shore Dr Lowr Ll1, Decatur, IL 62521-3832 | 2006-08-05 |
| 1689608218 | Michael Ashley Norman | Psychiatry & Neurology | 2665 North Decatur Rd, Ste 630, Decatur, GA 30033-4167 | 2006-07-10 |
| 1992738637 | Neurology and Headache Specialists of Atl, LLC | Psychiatry & Neurology | 2665 North Decatur Road, Ste 630, Decatur, GA 30033-4167 | 2006-07-08 |
| 1417948415 | Allied Physicians Inc., D/b/a Fort Wayne Neurololgy | Psychiatry & Neurology | 815 High St, Suite A, Decatur, IN 46733-2351 | 2005-10-31 |
| 1639170095 | Eston Gibbons Norwood IIi | Psychiatry & Neurology | 1215 7th St Se, #260, Decatur, AL 35601-3304 | 2005-08-09 |
| 1508869116 | Muhammad Naeem | Psychiatry & Neurology | 2351 S Fm 51 Ste 100, Decatur, TX 76234-3778 | 2005-05-27 |
| 1144691908 | Decatur Morgan Neurology | Psychiatry & Neurology | 1215 7th St Se, Suite 260, Decatur, AL 35601-3337 | 2015-10-19 |
| 1457722209 | Intensive Neuromonitoring LLC | Psychiatry & Neurology | 2152 Spring Creek Rd, Decatur, GA 30033-2608 | 2015-10-19 |
| Find all providers in DECATUR | ||||
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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.