NEUROPRO INC (NPI# 1578758835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578758835 |
| Entity Type | Organization |
| Organization Name | NEUROPRO INC |
| Practice Address |
5130 W Thunderbird Rd Suite #3 Glendale AZ 85306-4879 |
| Mailing Address |
17721 N 53rd Ln Glendale AZ 85308-5360 |
| Practice Telephone | 6029935209 |
| Practice Fax Number | 6029939500 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-11-30 |
| Authorized Official Name | DR. MOHAMED ESSAM ELKOTB (NEUROLOGIST) |
| Authorized Official Telephone | 6025247701 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 31663 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
5130 W THUNDERBIRD RD SUITE #3 |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85306-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275528713 | Mohamed Elkotb | Psychiatry & Neurology | 5130 W Thunderbird Rd, Suite 03, Glendale, AZ 85306-4879 | 2005-09-12 |
| 1376807552 | Jenna Elizabeth Stern | Dietitian, Registered | 5130 W Thunderbird Rd, Suites 1 & 3, Glendale, AZ 85306-4879 | 2012-07-02 |
| 1942403605 | Valley Hospitalists, LLC | Hospitalist | 5130 W Thunderbird Rd, #3, Glendale, AZ 85306-4879 | 2007-06-08 |
| 1437251857 | Bio-medical Applications of Arizona, LLC | Clinic/Center | 5130 W Thunderbird Rd, Suite 2, Glendale, AZ 85306-4879 | 2006-09-05 |
| 1689614489 | Arizona Gastroenterology and Liver Clinic,p.c. | Internal Medicine | 5130 W Thunderbird Rd, Suite 3, Glendale, AZ 85306-4879 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
| 1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
| 1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
| 1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
| 1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
| 1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
| 1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
| 1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
| 1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
| 1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
| Find all providers in zip 85306 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467721456 | David Steven Miller | Neuromusculoskeletal Medicine & OMM | 7773 W Libby St, Glendale, AZ 85308-8240 | 2011-12-20 |
| 1750328605 | Tracy Bretl, D.o., S.c. | Neuromusculoskeletal Medicine & OMM | 250 W Coventry Ct, Glendale, WI 53217-3972 | 2006-06-01 |
| 1447206388 | Tracy Lynn Bretl | Neuromusculoskeletal Medicine & OMM | 6793 N Green Bay Ave, Glendale, WI 53209-3422 | 2006-05-25 |
| 1992087506 | Gary C Gailius | Neuromusculoskeletal Medicine & OMM | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2011-09-09 |
| 1972781110 | Jonathan Kirsch,do PC | Neuromusculoskeletal Medicine & OMM | 5830 W Thunderbird Rd, Ste B-8 Pmb 182, Glendale, AZ 85306-4654 | 2008-02-08 |
| 1861580409 | Richard Josheph Geshel | Neuromusculoskeletal Medicine & OMM | 4344 W Bell Rd, Suite 102, Glendale, AZ 85308-3589 | 2006-10-10 |
| 1790871747 | William H Devine | Neuromusculoskeletal Medicine & OMM | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2006-10-05 |
| 1629175104 | Anthony Michael Will | Neuromusculoskeletal Medicine & OMM | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2006-09-19 |
| 1598862070 | David William Shoup | Neuromusculoskeletal Medicine & OMM | 19389 N 59th Ave, Glendale, AZ 85308-6500 | 2006-09-19 |
| 1972619245 | Mikhail Gleyzer Osteopathic Family Medicine, PC | Neuromusculoskeletal Medicine & OMM | 6805 Myrtle Ave, Glendale, NY 11385-7267 | 2006-08-21 |
| Find all providers in GLENDALE | ||||
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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.