CAPITOL NEURODIAGNOSTICS, PLLC (NPI# 1578809349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578809349 |
| Entity Type | Organization |
| Organization Name | CAPITOL NEURODIAGNOSTICS, PLLC |
| Practice Address |
1801 E. 151st Street Suite 365 #303 Austin TX 78723 |
| Practice Telephone | 5127179972 |
| Practice Fax Number | 2105661330 |
| Mailing Telephone | 5127179972 |
| Mailing Fax Number | 2105661330 |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | ALISSA FISHER (ENROLLMENT COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2105984240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1801 E. 151ST STREET SUITE 365 #303 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787318 | Bridget Wilson | Counselor | 6448 East Hwy 290, Suite F108, Austin, TX 78723 | 2019-02-25 |
| 1700378999 | Andrew Christopher Shanks | Counselor | 2132 Antone St, Austin, TX 78723 | 2018-06-04 |
| 1316434236 | Yasaman Ahmadieh | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Austin, TX 78723 | 2018-04-16 |
| 1215433354 | Erika Senai Ramirez | Nurse Practitioner | 6900 Ed Bluestein Blvd, Austin, TX 78723 | 2018-04-05 |
| 1518477645 | Brigitte Tyree | Registered Nurse | 2237 Zach Scott St, Austin, TX 78723 | 2017-10-03 |
| 1942735980 | Ila Sehgal | Pediatrics | 4900 Mueller Blvd, Ste 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2017-04-27 |
| 1851825194 | Terry Blackmon | Behavioral Analyst | 2021 Zach Scott St, Austin, TX 78723 | 2017-04-13 |
| 1114337961 | Cassandra Sorensen | Home Health | 3001 Maplelawn Circle, Austin, TX 78723 | 2014-05-02 |
| 1336569052 | Ricky C Mehta | Internal Medicine | 6210 E Hwy 290 Ste 420, Austin, TX 78723 | 2014-04-21 |
| 1356761373 | Peter Caldwell Gilbreath | Pediatrics | 4900 Mueller Boulevard, Suite 3s.066c, Dell Children's Medical Center, Austin, TX 78723 | 2014-04-17 |
| Find all providers in zip 78723 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699878801 | Greater Austin Neurology Clinic Pa | Psychiatry & Neurology | 13915 N Mo Pac Expy, Suite 302, Austin, TX 78728-6517 | 2006-09-06 |
| 1174121586 | Parkinsons Restless Legs & Movement Disorder Specialists Pllc | Psychiatry & Neurology | 6618 Sitio Del Rio Blvd Ste D102, Austin, TX 78730-1148 | 2020-10-16 |
| 1922509983 | Ikechukwu Obih, Md Pllc | Psychiatry & Neurology | 4207 Burnet Rd, Austin, TX 78756-3316 | 2018-02-26 |
| 1548769979 | Ikechukwu Obih, Md Pllc | Psychiatry & Neurology | 4207 Burnet Rd, Austin, TX 78756-3316 | 2018-02-12 |
| 1699190876 | Neurology Clinic Pa | Psychiatry & Neurology | 601 W 17th St, Austin, TX 78701-1103 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1740832120 | Southwest Neurophysiology, Pllc | Psychiatry & Neurology | 800 W Arbrook Blvd Ste 340, Arlington, TX 76015-4317 | 2019-07-15 |
| 1902467640 | Advanced Neurophysiology Associates PC | Psychiatry & Neurology | 136 Eldridge Rd Ste A, Sugar Land, TX 77478-4646 | 2019-06-24 |
| 1750896973 | Velocity Neuro, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
| 1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1912307216 | Nerve & Cord Monitoring, Pllc | Psychiatry & Neurology | 5706 E Mockingbird Lane, Ste 115 #404, Dallas, TX 75206-5461 | 2014-08-25 |
| 1477960128 | Cushing Neuromonitoring, Pllc | Psychiatry & Neurology | 3824 Ceder Spring Road, #380, Dallas, TX 75219 | 2014-07-15 |
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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.