JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC (NPI# 1639430101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639430101 |
Entity Type | Organization |
Organization Name | JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC |
Other Organization Name | JWM NEUROLOGY PC ELWOOD OFFICE |
Practice Address |
1331 S A St Elwood IN 46036-1942 |
Mailing Address |
6983 Hillsdale Ct Indianapolis IN 46250-2054 |
Practice Telephone | 7654558822 |
Practice Fax Number | 7658653935 |
Mailing Telephone | 3173082828 |
Mailing Fax Number | 3175766311 |
Enumeration Date | 2012-05-31 |
Last Update Date | 2012-09-12 |
Authorized Official Name | HERSCHAL JACQUAY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 3173082828 |
Is Organization Subpart | Y |
Parent Organization Name | JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 100218760 | 05 |
Other Name | Type Code |
---|---|
JWM Neurology PC Elwood Office | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629637020 | Josephson Wallack Munshower Neurology PC | Psychiatry & Neurology | 493 Westfield Rd Ste A, Noblesville, IN 46060-1304 | 2019-06-10 |
1518462563 | Josephson Wallack Munshower Neurology PC | Psychiatry & Neurology | 1030 E County Line Rd Ste B1, Indianapolis, IN 46227-2933 | 2018-03-29 |
Street Address |
1331 S A ST |
City | ELWOOD |
State | IN |
Zip Code | 46036-1942 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083680763 | Adam L Greene | Internal Medicine | 1331 S A St, Elwood, IN 46036-1942 | 2006-02-23 |
1477966760 | Mid America Clinical Laboratories, LLC | Clinical Medical Laboratory | 1331 S A St, Elwood, IN 46036-1942 | 2014-06-04 |
1225309073 | Indiana Physician Management-mercy, LLC | Emergency Medicine | 1331 S A St, Elwood, IN 46036-1942 | 2012-01-25 |
1366636235 | Onyekachi U Nwabuko | Emergency Medicine | 1331 S A St, Elwood, IN 46036-1942 | 2007-09-04 |
1407053135 | Rhonda S. Levin | Occupational Therapist | 1331 S A St, Elwood, IN 46036-1942 | 2007-06-27 |
1114123072 | Debra Ann Dorsch | Physical Therapist | 1331 S A St, Elwood, IN 46036-1942 | 2007-06-26 |
1881890168 | Dawn Lyman Beard | Physical Therapy Assistant | 1331 S A St, Elwood, IN 46036-1942 | 2007-06-25 |
1346445061 | Rachel R Gaddis | Physical Therapy Assistant | 1331 S A St, Elwood, IN 46036-1942 | 2007-06-21 |
1558566265 | Jennifer Anne Loser | Physical Therapist | 1331 S A St, Elwood, IN 46036-1942 | 2007-06-21 |
1689794091 | Cancer Care Group, P.C. | Radiology | 1331 S A St, Elwood, IN 46036-1942 | 2007-03-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235263682 | City of Elwood | Ambulance | 1505 South B St, Elwood, IN 46036 | 2007-03-16 |
1790849313 | Dennis L Church Dds Inc | Clinic/Center | 213 North 16th St, Elwood, IN 46036 | 2006-12-20 |
1679536320 | Elwood Family Medicine PC | Family Medicine | 1520 So R St, Elwood, IN 46036 | 2006-04-11 |
1295796159 | Margaret Runelle Romine | Nurse Practitioner | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
1346542016 | Terri Turner | Counselor | 10731 N State Road 13, Elwood, IN 46036 | 2010-12-01 |
1104887066 | Robert James Helm | Family Medicine | 1520 S R St, Elwood, IN 46036 | 2006-03-30 |
1013990753 | Alfredo J Tumbali | Psychiatry & Neurology | 1500 S B St Ste 3, Elwood, IN 46036 | 2005-11-28 |
1619216348 | Integrated Pain Solutions, Inc | Chiropractor | 517 N Anderson St, Suite 4, Elwood, IN 46036-1293 | 2013-01-31 |
1861703191 | Marianne Goshorn | Specialist/Technologist | 1137 N 19th St, Elwood, IN 46036-1376 | 2010-07-01 |
1669469284 | Community Parkview Care Center | Nursing Facility/Intermediate Care Facility | 2300 Parkview Ln, Elwood, IN 46036-1378 | 2005-09-29 |
Find all providers in zip 46036 |
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 |
---|---|---|---|---|
1730712670 | Little Company of Mary Hospital of Indiana Inc | Psychiatry & Neurology | 600 W 13th St Ste 205, Jasper, IN 47546-1883 | 2020-02-19 |
1477052645 | Orthospine Monitoring LLC | Psychiatry & Neurology | 2901 Carlson Drive, Suite 375, Hammond, IN 46323 | 2018-02-02 |
1124430376 | Brooke Felicia Walls | Psychiatry & Neurology | 940 W 10th St, 2416, Indianapolis, IN 46202-4807 | 2014-05-22 |
1124453279 | Midwest Neurology Associates PC | Psychiatry & Neurology | 1100 Joliet St Ste 201, Dyer, IN 46311-1995 | 2013-09-09 |
1235577065 | Ryan William Pappas | Psychiatry & Neurology | 2000 Roosevelt Rd Ste 207, Valparaiso, IN 46383-2802 | 2013-06-14 |
1467794271 | William Louis Conte | Psychiatry & Neurology | 200 E 89th Ave # B, Merrillville, IN 46410 | 2013-03-19 |
1285997494 | Jordan D Raynor | Psychiatry & Neurology | 1050 Reid Pkwy., Ste. 210, Richmond, IN 47374-1160 | 2012-06-21 |
1578820510 | Cindy Joseph | Psychiatry & Neurology | 759 45th St, 104, Munster, IN 46321-2939 | 2012-04-16 |
1851657373 | Kathryn Nevel | Psychiatry & Neurology | 355 W 16th St Ste 5400, Indianapolis, IN 46202-2393 | 2012-04-10 |
1336414499 | Michiana Neurologic Medicine, PC | Psychiatry & Neurology | 229 Red Coach Dr Ste 105, Mishawaka, IN 46545-3195 | 2012-03-21 |
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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.