AMBULATORY NEUROLOGICAL SERVICES, LLC (NPI# 1578800116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578800116 |
| Entity Type | Organization |
| Organization Name | AMBULATORY NEUROLOGICAL SERVICES, LLC |
| Practice Address |
6901 W Emerald St Ste 208 Boise ID 83704-8660 |
| Mailing Address |
Po Box 28669 San Diego CA 92198-0669 |
| Practice Telephone | 2083507263 |
| Practice Fax Number | 8662735772 |
| Mailing Telephone | 8884475904 |
| Mailing Fax Number | 8668587255 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MR. MIGUEL IRIBARREN (MANAGER) |
| Authorized Official Telephone | 8473409726 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMBULATORY NEUROLOGICAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828986 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 109 Hinton Ave Ste 18, Wilmington, NC 28403-4772 | 2016-09-02 |
| 1790004695 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 603 Fox Glen Ct, Barrington, IL 60010-1834 | 2010-05-18 |
| 1275867491 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 7300 Hudson Blvd N, Suite 220, Oakdale, MN 55128-7141 | 2009-09-21 |
| 1184051583 | Ambulatory Neurological Services, LLC | Psychiatry & Neurology | 1212 Bath Ave, Ste 535, Ashland, KY 41101-2680 | 2013-09-30 |
| 1700159480 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 10554 Success Ln, Ste C, Centerville, OH 45458-3658 | 2012-02-10 |
| 1639452634 | Ambulatory Neurological Services, LLC | Technician, Other | 3847 Teays Valley Rd, Ste E, Hurricane, WV 25526-9622 | 2011-09-26 |
| 1154631505 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 8541 S Redwood Rd, Ste A1, West Jordan, UT 84088-9327 | 2010-10-19 |
| 1871735654 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 1333 College Ave, Suite L, South Milwaukee, WI 53172-1150 | 2009-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | AMBULATORY NEUROLOGICAL SERVICES, LLC | Ambulatory Neurological Services, LLC, P.o. Box 500, Wilmette, IL 60091 |
| Street Address |
6901 W EMERALD ST STE 208 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639535792 | Anita Marie Goriup | Technician, Other | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2016-01-05 |
Please comment or provide details below to improve the information on AMBULATORY NEUROLOGICAL 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.