PREMIER NEUROLOGY LLC (NPI# 1538632641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538632641 |
| Entity Type | Organization |
| Organization Name | PREMIER NEUROLOGY LLC |
| Practice Address |
1730 W 25th St Ste 3a Cleveland OH 44113-3108 |
| Practice Telephone | 2167713414 |
| Mailing Telephone | 2167713414 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | HAYDER KADHIM (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2167713413 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE OF OHIO LICENSE | 4259365 | 01 |
| Street Address |
1730 W 25TH ST STE 3A |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| 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 |
|---|---|---|---|---|
| 1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
| 1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
| 1538424072 | East Tn Neurology LLC | Psychiatry & Neurology | 2253 Chambliss Ave. Nw, Suite 405, Cleveland, TN 37311-3861 | 2012-07-11 |
| 1720341340 | Brandon Moss | Psychiatry & Neurology | 9500 Euclid Ave # U-10, Cleveland, OH 44195 | 2012-06-19 |
| 1225394703 | Kedar Mahajan | Psychiatry & Neurology | Mellen Ctr, 9500 Euclid Ave Mail Code U-10, Cleveland, OH 44195-0001 | 2012-04-09 |
| 1902190143 | Jessica Rochelle Fesler | Psychiatry & Neurology | 9500 Euclid Ave # S51, Cleveland, OH 44195-5023 | 2011-06-06 |
| 1629379078 | Bolivar Physician Practices LLC | Psychiatry & Neurology | 903 East Sunflower Rd, Suite 400, Cleveland, MS 38732-2551 | 2010-11-16 |
| 1316247364 | Adham Jammoul | Psychiatry & Neurology | 11328 Euclid Ave Apt 502, Cleveland, OH 44106-5108 | 2010-10-25 |
| 1720318355 | Hesham Ahmed Abboud | Psychiatry & Neurology | 9500 Euclid Avenue, Desk U10, Cleveland Clinic, Cleveland, OH 44195-0001 | 2010-01-04 |
| 1033342662 | University Hospitals Medical Group, Inc. | Psychiatry & Neurology | 2181 Ambleside Road, Cleveland, OH 44106 | 2009-08-31 |
| Find all providers in CLEVELAND | ||||
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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.