APPLIED NEUROPHYSIOLOGY, PLLC (NPI# 1053704692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053704692 |
| Entity Type | Organization |
| Organization Name | APPLIED NEUROPHYSIOLOGY, PLLC |
| Practice Address |
4025 Stanford Ave Dallas TX 75225-7006 |
| Mailing Address |
6127 Luther Ln # 492 Dallas TX 75225-6202 |
| Practice Telephone | 2145361647 |
| Practice Fax Number | 2145807600 |
| Mailing Telephone | 2145361647 |
| Mailing Fax Number | 2145807600 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |
| Authorized Official Name | DR. NOLAN BRUCE JENEVEIN (PRESIDENT) |
| Authorized Official Telephone | 2147384961 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
H2492 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4025 STANFORD AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75225-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730605940 | Neurointerp, Pllc | Psychiatry & Neurology | 4025 Stanford Ave, Dallas, TX 75225-7006 | 2017-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508325275 | Buckner Senior Living, Inc. | Skilled Nursing Facility | One Ventana Way, 8301 N Central Expressway, Dallas, TX 75225 | 2019-03-13 |
| 1659872224 | Brandy Morgan | Specialist/Technologist | 8100 Lomo Alto Drive, 200, Dallas, TX 75225 | 2018-02-28 |
| 1225554165 | Southwest Joint Pain Management, LLC | Nurse Anesthetist, Certified Registered | 8611 Hillcrest Rd, Suite 245d, Dallas, TX 75225 | 2017-08-22 |
| 1508304627 | Paula Miltenberger, Ph.d., Pa | Psychologist | 5949 Sherry Lane, Suite 752, Dallas, TX 75225 | 2017-02-09 |
| 1194184564 | Monitoring Concepts Iom Group | Specialist/Technologist, Other | 4536 Lovers Lane, Ste 410, Dallas, TX 75225 | 2016-02-15 |
| 1285017343 | Leilani So Wiltz | Pediatrics | 3 Abbotsford Court, Dallas, TX 75225 | 2015-07-07 |
| 1932599511 | Anthony Ramos | Chiropractor | 6211 W. Northwest Hwy, Suite C-159, Dallas, TX 75225 | 2015-02-03 |
| 1750635405 | Edith R Fekete | Psychiatry & Neurology | 6335 W. Northwest Hwy. Apt. 1918, Dallas, TX 75225 | 2012-11-02 |
| 1982998019 | Child and Family Assessment Center, Pllc | Psychologist | 8117 Preston Rd., Ste. 300, Dallas, TX 75225 | 2011-06-06 |
| 1184950420 | Mwh Chiropractic | Chiropractor | 6170 Sherry Lane, Suite 300, Dallas, TX 75225 | 2009-10-21 |
| Find all providers in zip 75225 | ||||
| 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 |
|---|---|---|---|---|
| 1386147544 | Irina Mikhaylovna Podkorytova | Psychiatry & Neurology | 5323 Harry Hines Blvd # E1.202, Dallas, TX 75390-7208 | 2018-03-14 |
| 1215389655 | Revolution Monitoring Management, LLC | Psychiatry & Neurology | 4925 Greenville Ave #200, Dallas, TX 75206 | 2016-07-11 |
| 1891180311 | Mazen T Elkurd | Psychiatry & Neurology | 5323 Harry Hines Blvd # J3.134, Dallas, TX 75390 | 2015-04-01 |
| 1427459064 | Rch Medical, Pllc | Psychiatry & Neurology | 3816 Stanford Ave, Dallas, TX 75225-7108 | 2014-09-15 |
| 1841627767 | Neurological Associates of North Texas Pllc | Psychiatry & Neurology | 9330 Poppy Dr Ste 500b, Dallas, TX 75218-4621 | 2013-10-09 |
| 1336486828 | Frisco Neurosurgical Products Pllc | Psychiatry & Neurology | 2633 Mckinney Avenue, Suite 130 #341, Dallas, TX 75204 | 2013-01-03 |
| 1992041438 | Chiflauda Monitoring, Pllc | Psychiatry & Neurology | 4848 Lemmon Avenue, Suite 100 #318, Dallas, TX 75219 | 2013-01-02 |
| 1154671113 | Bk Neuromonitoring, Pllc | Psychiatry & Neurology | 25 Highland Park Village, Suite 100 #566, Dallas, TX 75205 | 2012-09-17 |
| 1518226521 | Southwest Electrodiagnostic Center LLC | Psychiatry & Neurology | 16135 Preston Rd Ste 135, Box 21, Dallas, TX 75248-3590 | 2012-05-10 |
| 1023269495 | Kathleen Voiers Scott | Psychiatry & Neurology | 15950 Dallas Pkwy, South Tower, Ste 480, Dallas, TX 75248-6615 | 2008-10-03 |
| Find all providers in DALLAS | ||||
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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.