NEURODYME DIAGNOSTICS (NPI# 1629152640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629152640 |
| Entity Type | Organization |
| Organization Name | NEURODYME DIAGNOSTICS |
| Other Organization Name | NEURODYME DIAGNOSTICS |
| Practice Address |
3422 Garden Shadow Ln Houston TX 77018-6346 |
| Practice Telephone | 8328767084 |
| Mailing Telephone | 8328767084 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | MR. JEFFREY HAYDEN ROSE (OWNER) |
| Authorized Official Telephone | 8328767084 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| NEURODYME DIAGNOSTICS | Doing Business As Name - Organization |
| Street Address |
3422 GARDEN SHADOW LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77018-6346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748611 | Kourtni C Resnick | Counselor | 2180 North Loop West, Suite 300, Houston, TX 77018 | 2020-04-06 |
| 1992337257 | Ozioma G Anyakudo | Nurse Practitioner | 2815 W Tc Jester Blvd, Houston, Texas 77018, Houston, TX 77018 | 2020-02-05 |
| 1447766092 | Delshaveon Masters | Prosthetist | 2802 W Tc Jester Blvd, Apt 1, Houston, TX 77018 | 2017-12-19 |
| 1891221099 | Jennifer Lyon | Chore Provider | 1222 Lehman, Houston, TX 77018 | 2017-05-08 |
| 1235501610 | Caryn Alyce Honig | Dietitian, Registered | 2060 North Loop W Ste 205, Houston, TX 77018 | 2015-10-26 |
| 1164806485 | Katie E Stuchlik | Dentist | 1717 West 34th Street, Suite 450, Houston, TX 77018 | 2015-07-16 |
| 1124436209 | Martha Mattison | Clinical Ethicist | 501 Garden Oaks, Houston, TX 77018 | 2014-08-01 |
| 1548689383 | Sherry Cooper | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2015 West 34 Th Street Suite A, Houston, TX 77018 | 2014-04-09 |
| 1124377387 | Dionne Tompkins | Dentist | 4040 Yale Street, Houston, TX 77018 | 2012-09-04 |
| 1922330869 | Liliana Zugey Rueda-castrillon | Plastic Surgery | 1100 W 34th Street, Houston, TX 77018 | 2010-02-03 |
| Find all providers in zip 77018 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1417434523 | Spectrum Neuro Lp | Specialist/Technologist, Other | 3333 Lake St Unit 7h, Houston, TX 77098-2170 | 2018-07-21 |
| 1427577642 | Michelle Josette Edwards | Specialist/Technologist, Other | 10330 Lake Rd Ste E, Houston, TX 77070-1696 | 2017-09-19 |
| 1710406152 | Peak Iom, LLC | Specialist/Technologist, Other | 5318 Weslayan St Ste 195, Houston, TX 77005-1048 | 2017-09-18 |
| 1851816425 | Nhi Myarcherie Huynh | Specialist/Technologist, Other | 9919 Blooming Ivy Ln, Houston, TX 77089-2476 | 2017-08-04 |
| 1528598521 | Mbb Neuromonitoring LLC | Specialist/Technologist, Other | 4807 Plum Forest Road, Houston, TX 77084 | 2017-06-13 |
| 1427509066 | Gary Chacon | Specialist/Technologist, Other | 9777 West Gulf Bank Rd, Suite 5, Houston, TX 77040 | 2016-10-19 |
| 1982153177 | Ashley Haddock | Specialist/Technologist, Other | 9777 W Gulf Bank Rd Ste 5, Houston, TX 77040-3137 | 2016-09-28 |
| 1063967776 | Safer Surgery Iom | Specialist/Technologist, Other | 5300 N Braeswood Blvd #127, Houston, TX 77096 | 2016-08-23 |
| 1568817096 | Amy Lea Carlson | Specialist/Technologist, Other | 12820 Greenwood Forest Dr, Apt 519, Houston, TX 77066-1636 | 2016-05-03 |
| Find all providers in HOUSTON | ||||
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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.