1942383153 NPI number — NEUROSURGERY ASSOCIATES, PA

Table of content: (NPI 1942383153)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942383153 NPI number — NEUROSURGERY ASSOCIATES, PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEUROSURGERY ASSOCIATES, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942383153
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/06/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1306 N BROOM ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILMINGTON
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19806-4209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-571-9750
Provider Business Mailing Address Fax Number:
302-571-0620

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 W HIGH ST
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
ELKTON
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21921-5529
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-571-9750
Provider Business Practice Location Address Fax Number:
302-571-0620
Provider Enumeration Date:
10/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAHER
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
ELLEN
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
302-428-0314

Provider Taxonomy Codes

  • Taxonomy code: 207T00000X , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1164520037 . This is a "NPI-MAGDY I. BOULOS, MD" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1447358338 . This is a "NPI" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1942383153 . This is a "NPI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: DA6621 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1902906860 . This is a "NPI-TERESA KITKO, PA-C" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1073611968 . This is a "NPI-PAWAN RASTOGI, MD" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 1922109206 . This is a "NPI-COLLEEN DAVIS, PA-C" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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