NEURODIAGNOSTICS LTD. (NPI# 1942365416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942365416 |
| Entity Type | Organization |
| Organization Name | NEURODIAGNOSTICS LTD. |
| Practice Address |
4801 N Butler Ave Ste. 8102 Farmington NM 87401-0818 |
| Practice Telephone | 5053267153 |
| Practice Fax Number | 5053267767 |
| Mailing Telephone | 5053267153 |
| Mailing Fax Number | 5053267767 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-12-21 |
| Authorized Official Name | DENISE BREEDEN (OFFICE MANAGER) |
| Authorized Official Telephone | 5053267153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2000-14 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 69631 | 05 |
| Street Address |
4801 N BUTLER AVE STE. 8102 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-0818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275536088 | Armando Lopez De Victoria | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2005-05-24 |
| 1184985475 | Advanced Gastroenterology Associates | Internal Medicine | 4801 N Butler Ave, Suite 13102, Farmington, NM 87401-6002 | 2012-06-03 |
| 1164700571 | Tres Rios Anesthesiology LLC | Anesthesiology | 4801 N Butler Ave, Suite 5000, Farmington, NM 87401-6002 | 2011-08-02 |
| 1184850372 | Edmund Mcnally | Physician Assistant | 4801 N Butler Ave, Ste 8102, Farmington, NM 87401-6002 | 2009-06-02 |
| 1093928673 | Samuel C. Carpenter, Dpmpc | Podiatrist | 4801 N Butler Ave, Suite 9102, Farmington, NM 87401-6002 | 2007-05-08 |
| 1508920661 | Jean Graham | Specialist | 4801 N Butler Ave, Farmington, NM 87401-6002 | 2006-12-21 |
| 1568575314 | Michael Joseph Rutledge | Family Medicine | 4801 N Butler Ave, Suite 13101, Farmington, NM 87401-6002 | 2006-08-16 |
| 1265465884 | Uche N Obisike | Internal Medicine | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 | 2006-07-08 |
| 1790720662 | Comprehensive Sleep Solutions, LLC | Clinic/Center | 4801 N Butler Ave, Ste 6102, Farmington, NM 87401-6002 | 2006-06-17 |
| 1740286780 | Denise Dorner | Podiatrist | 4801 N Butler Ave, Ste 14102, Farmington, NM 87401-6002 | 2005-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| 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 |
|---|---|---|---|---|
| 1912052820 | Lauren H Sansing | Psychiatry & Neurology | 263 Famington Ave, Neurology, Farmington, CT 06030-0001 | 2007-01-24 |
| 1710947106 | Roshni Patel | Psychiatry & Neurology | 55 South Rd Ste 120, Farmington, CT 06032-2022 | 2006-03-28 |
| 1922096452 | Mohammed Idris Zahoor | Psychiatry & Neurology | 24001 Orchard Lake Rd, Suite 140, Farmington, MI 48336 | 2005-10-10 |
| 1891135000 | Neha Prakash | Psychiatry & Neurology | 263 Farmington Avenue, Farmington, CT 06030 | 2013-07-02 |
| 1659715944 | Fernanda Wajnsztajn | Psychiatry & Neurology | 263 Farmington Avenue, Farmington, CT 06030 | 2013-04-17 |
| 1477896900 | Catherine Alessi | Psychiatry & Neurology | 505 Farmington Ave, Farmington, CT 06032 | 2013-04-03 |
| 1720379845 | Matthew Aaron Tremblay | Psychiatry & Neurology | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2011-04-23 |
| 1700183613 | Jose Antonio Montes-rivera | Psychiatry & Neurology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2011-02-12 |
| 1356667380 | Matthew Imperioli | Psychiatry & Neurology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2010-04-15 |
| 1104141233 | Laura Waymire | Psychiatry & Neurology | 2300 E 30th St Ste B-102, Farmington, NM 87401-8991 | 2010-03-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.