HIGHLAND NEUROLOGY CENTER PA (NPI# 1609918648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609918648 |
| Entity Type | Organization |
| Organization Name | HIGHLAND NEUROLOGY CENTER PA |
| Practice Address |
3645 Cape Center Dr Fayetteville NC 28304-4457 |
| Practice Telephone | 9104839200 |
| Practice Fax Number | 9104835678 |
| Mailing Telephone | 9104839200 |
| Mailing Fax Number | 9104835678 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2009-02-24 |
| Authorized Official Name | DR. RICHARD DORO SERANO (PRESIDENT) |
| Authorized Official Telephone | 9104839200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20341 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890130J | 05 |
| Street Address |
3645 CAPE CENTER DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104272400 | Axia Leah Wilson | Physician Assistant | 3645 Cape Center Dr, Fayetteville, NC 28304-4457 | 2016-05-05 |
| 1598809527 | Albert W Kenney IIi | Specialist | 3645 Cape Center Dr, Fayetteville, NC 28304-4457 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1316340433 | Sound Sleep Interpretation, LLC | Psychiatry & Neurology | 345 Devers St Ste 102, Fayetteville, NC 28303-4753 | 2014-10-02 |
| 1033476726 | Jay P Hinkle | Psychiatry & Neurology | 3336 N. Futrall, Fayetteville, AR 72703 | 2012-04-18 |
| 1942483706 | Kamlesh P. Patel M.d., Pa | Psychiatry & Neurology | 1301 Medical Dr Ste B, Fayetteville, NC 28304-4425 | 2007-12-14 |
| 1467581512 | Cumberland Neurology, P.a. | Psychiatry & Neurology | 4140 Ferncreek Dr Ste 401, Fayetteville, NC 28314-2567 | 2007-03-05 |
| 1265454185 | Rangasamy Ramachandran | Psychiatry & Neurology | 1766 Metromedical Dr, Fayetteville, NC 28304-3861 | 2006-07-24 |
| 1588600332 | Lucas Van Tran | Psychiatry & Neurology | 101 Robeson Street, Suite 304, Fayetteville, NC 28301-5520 | 2006-06-21 |
| 1447211149 | Virendra V Ranadive | Psychiatry & Neurology | 115 Sumner Rd Fl 2, Fayetteville, GA 30214-4758 | 2006-03-31 |
| 1063409993 | Margaret F Tremwel | Psychiatry & Neurology | 3336 N Futrall Dr, Fayetteville, AR 72703-4057 | 2005-10-05 |
| 1073518494 | Venugopal Naidu Gadipudi | Psychiatry & Neurology | 2500 Village Dr, Ste 102, Fayetteville, NC 28304-3811 | 2005-06-14 |
| 1366447757 | Paul Eric Szwejbka | Psychiatry & Neurology | 4140 Ferncreek Dr, Ste 401, Fayetteville, NC 28314-2563 | 2005-06-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on HIGHLAND NEUROLOGY CENTER PA.
| 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.