SKYLINE NEUROSCIENCE ASSOCIATES, LLC (NPI# 1033154786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033154786 |
| Entity Type | Organization |
| Organization Name | SKYLINE NEUROSCIENCE ASSOCIATES, LLC |
| Other Organization Name | WAUKEGAN CLINIC CORPORATION |
| Practice Address |
3443 Dickerson Pike Ste 580 Nashville TN 37207-2526 |
| Mailing Address |
2000 Health Park Dr Brentwood TN 37027-4525 |
| Practice Telephone | 6158601351 |
| Practice Fax Number | 6158601242 |
| Mailing Telephone | 6158601351 |
| Mailing Fax Number | 8668314898 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | LOUIS R JOSEPH III (VICE PRESIDENT) |
| Authorized Official Telephone | 6153737630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036143179 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1306937289 | 05 | |
| IL | 204872623 | 05 | |
| IL | 036143179 | 05 |
| Other Name | Type Code |
|---|---|
| Waukegan Clinic Corporation | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3443 Dickerson Pike, Suite 580, Nashville, TN 372072526 | 6158601040 |
| Street Address |
3443 DICKERSON PIKE STE 580 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37207-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093159444 | Stephen Mcdonald II | Psychiatry & Neurology | 3443 Dickerson Pike Ste 580, Nashville, TN 37207-2526 | 2013-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770993982 | Shanika Ostine | Non-emergency Medical Transport (VAN) | 4200 Polk Forest Circle, Nashville, TN 37207 | 2014-04-28 |
| 1285052456 | Roman Weber | Occupational Therapist | 103 Arcaro Place, Brentwood, TN 37207 | 2014-04-03 |
| 1255609475 | Thomas' Supports, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 129 Mccarthy Park Lane, Nashville, TN 37207 | 2011-12-02 |
| 1770868895 | Focus Medical Clinic, Pllc | Social Worker | 213w Maplewood Lane, Suite 400, Nashville, TN 37207 | 2011-10-20 |
| 1346535895 | Jazzee Adult Day Services | Home Health | 715 Joseph Ave, Nashville, TN 37207 | 2011-06-13 |
| 1740588938 | Adme | Durable Medical Equipment & Medical Supplies | 3443 Dickerson Pike, Skyline Medical Plaza Suit G-20, Adme, Nashville, TN 37207 | 2011-03-11 |
| 1942508924 | Shameka Dowell | In Home Supportive Care | 2422 Grover Street, Nashville, TN 37207 | 2011-03-01 |
| 1780996546 | Lindsey Marie Blalock | Nurse Practitioner | 3005 Ambrose Ave, Nashville, TN 37207 | 2010-07-09 |
| 1518293737 | Questcare Group Home Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 721 Roman Dr., Nashville, TN 37207 | 2009-10-22 |
| 1134330913 | Chariot Transportation, Inc. | Non-emergency Medical Transport (VAN) | 1302 Baptist World Center Dr., Nashville, TN 37207 | 2007-05-24 |
| Find all providers in zip 37207 | ||||
| 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 |
|---|---|---|---|---|
| 1881037240 | Adam Nagy | Psychiatry & Neurology | 3930 The Vanderbilt Clinic, 1301 Medical Center Drive, Nashville, TN 37232-5400 | 2013-04-16 |
| 1295053114 | Mark David Baker | Psychiatry & Neurology | Neurology 1161 21st Ave South A 1106a Mcn, Nashville, TN 37232-2551 | 2010-05-17 |
| 1699930818 | Amar Bharat Bhatt | Psychiatry & Neurology | Vanderbilt Univ Med Ctr Dept of Neurology, 1161 21st Ave. South, A-0118 Medical Center North, Nashville, TN 37232-0001 | 2008-07-28 |
| 1114041548 | Neuro Resource PC | Psychiatry & Neurology | 3443 Dickerson Pike Ste 300, Nashville, TN 37207-2523 | 2007-03-19 |
| 1306987730 | Fenna Phibbs | Psychiatry & Neurology | A-0118 Mcn- Vanderbilt, Nashville, TN 37232-2551 | 2007-02-09 |
| 1174677975 | Khanh Lebao Nguyen | Psychiatry & Neurology | 336 22nd Ave N, Nashville, TN 37203-1844 | 2007-01-22 |
| 1972657609 | Michael Froehler | Psychiatry & Neurology | A-0118 Medical Ctr N, Vanderbilt Neurology, Nashville, TN 37232-2551 | 2007-01-22 |
| 1013064989 | Christopher Lee | Psychiatry & Neurology | 1601 21st Ave S, Department of Neurology, Nashville, TN 37212-3103 | 2007-01-04 |
| 1336296169 | Siddharama Pawate | Psychiatry & Neurology | 719 Thompson Ln Ste 24100, Nashville, TN 37204-4677 | 2007-01-04 |
| 1245327352 | Anne E Oduffy | Psychiatry & Neurology | Vanderbilt University Dept, A-0118 Medical Center North, Nashville, TN 37232-0001 | 2006-10-09 |
| Find all providers in NASHVILLE | ||||
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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.