JOSEPHSON WALLACK MUNSHOWER NEUROLOGY (NPI# 1669569729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669569729 |
| Entity Type | Organization |
| Organization Name | JOSEPHSON WALLACK MUNSHOWER NEUROLOGY |
| Other Organization Name | JWM NEUROLOGY PC |
| Practice Address |
1203 Hadley Rd Ste 202 Mooresville IN 46158-1885 |
| Mailing Address |
6983 Hillsdale Ct Indianapolis IN 46250-2054 |
| Practice Telephone | 3178591020 |
| Practice Fax Number | 3178594040 |
| Mailing Telephone | 3178498350 |
| Mailing Fax Number | 3175766311 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | HERSCHAL JACQUAY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3178498350 |
| 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 |
|---|---|---|---|
| MEDICARE RR | CJ9849 | 01 | |
| IN | 100218760L | 05 |
| Other Name | Type Code |
|---|---|
| JWM Neurology PC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487741641 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 1 Memorial Sq, Ste 355, Greenfield, IN 46140-2835 | 2006-10-09 |
| 1134216393 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 8051 S. Emerson Ave, Suite 350, Indianapolis, IN 46237-8634 | 2006-10-09 |
| 1841539558 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 2101 Jackson St, Suite 106, Anderson, IN 46016-4386 | 2013-02-01 |
| 1477612018 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 12188a N Meridian St, Suite 320, Carmel, IN 46032-4407 | 2006-12-08 |
| 1689761843 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 8402 Harcourt Rd, Ste 615, Indianapolis, IN 46260-2055 | 2006-10-09 |
| 1871680033 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 7250 Clearvista Dr, Ste 225, Indianapolis, IN 46256-5626 | 2006-10-09 |
| 1851488019 | Josephson Wallack Munshower Neurology | Specialist | 13450 N Meridian St, Ste 352, Carmel, IN 46032-1546 | 2006-10-09 |
| 1396832556 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 2330 S Dixon Rd, Kokomo, IN 46902-6411 | 2006-10-09 |
| 1922195080 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 1159 W Jefferson St, Ste 206, Franklin, IN 46131-2795 | 2006-10-09 |
| 1538119219 | Josephson Wallack Munshower Neurology | Psychiatry & Neurology | 1400 N Ritter Ave, Ste 220, Indianapolis, IN 46219-3046 | 2006-05-11 |
| Street Address |
1203 HADLEY RD STE 202 |
| City | MOORESVILLE |
| State | IN |
| Zip Code | 46158-1885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396352613 | Victoria Shay Parsons | Pharmacist | 523 Sr-67 N, Mooresville, IN 46158 | 2020-09-30 |
| 1083150049 | Terri Joann Hughes | Hearing Instrument Specialist | Mobile / Home Care, Mooresville, IN 46158 | 2017-01-16 |
| 1578938650 | Harrison County Hospital | Skilled Nursing Facility | 302 North Johnson Road, Mooresville, IN 46158 | 2015-12-01 |
| 1598100323 | William Oh | Colon & Rectal Surgery | 1215 Hadley Rd Ste 201, Mooresville, IN 46158 | 2013-05-07 |
| 1134405855 | Antonios Spiros Kantzavelos | Pharmacist | 115 Fields Road, Mooresville, IN 46158 | 2011-10-26 |
| 1588940308 | Sarah E Grindle | Pharmacist | 115 Fields Rd., Mooresville, IN 46158 | 2011-10-25 |
| 1487884805 | Abundant Life Chiropractic | Chiropractor | 902 N Old State Rd 67, Mooresville, IN 46158 | 2009-07-20 |
| 1770614760 | W F Kirby | Optometrist | 11625 N Oldfield Ln, Mooresville, IN 46158 | 2007-03-08 |
| 1730269192 | Travis L Bauer | Dentist | 420 S Indiana St, Mooresville, IN 46158 | 2006-10-17 |
| 1457396707 | Sidney L Gilbert | Pediatrics | 100 Town Center Drive, Suite B, Mooresville, IN 46158 | 2006-06-19 |
| Find all providers in zip 46158 | ||||
| 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 |
|---|---|---|---|---|
| 1235431818 | Lake Norman Neurology | Psychiatry & Neurology | 139 Gateway Blvd, Suite 127, Mooresville, NC 28117-5540 | 2010-12-02 |
| 1457343337 | Andrew Joseph Braunstein | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2005-08-17 |
| 1518361914 | Mooresville Ppm LLC | Psychiatry & Neurology | 131 Medical Park Rd Ste 308, Mooresville, NC 28117-8525 | 2014-10-14 |
| 1730322843 | Andrew Francis Leigh Gross | Psychiatry & Neurology | 131 Medical Park Rd, Suite 308, Mooresville, NC 28117-8522 | 2009-04-20 |
| 1356399554 | Lake Norman Neurology Pa | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2006-05-04 |
| 1043296130 | Douglas Jeffery | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5609 | 2005-12-20 |
| 1164414819 | Craig Daniel Dubois | Psychiatry & Neurology | 124 Professional Park Dr, Suite A, Mooresville, NC 28117-5537 | 2005-08-18 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 46158 |
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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.