NEUROSHIELD IOM, LLC (NPI# 1093218638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093218638 |
| Entity Type | Organization |
| Organization Name | NEUROSHIELD IOM, LLC |
| Practice Address |
803 Spring Source Pl Spring TX 77373-7077 |
| Mailing Address |
Po Box 1789 Crosby TX 77532-1789 |
| Practice Telephone | 8325853897 |
| Mailing Telephone | 2813463480 |
| Mailing Fax Number | 2819408606 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | STEVE PURDON (OWNER/CNIM) |
| Authorized Official Telephone | 8325853897 |
| Authorized Official Credential | CNIM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
633 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
803 SPRING SOURCE PL |
| City | SPRING |
| State | TX |
| Zip Code | 77373-7077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316291354 | My Iom Co, LLC | Specialist | 803 Spring Source Pl, Spring, TX 77373-7077 | 2012-10-29 |
| 1194148874 | Steven Purdon | Specialist/Technologist, Other | 803 Spring Source Pl, Spring, TX 77373-7077 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669030664 | Patricia Dian Gonzalez | Counselor | 823 Liberty Springs Way, Spring, TX 77373 | 2019-06-04 |
| 1477025237 | 2020 Vision, Pllc | Optometrist | 25640 Kuykendahl Rd, Suite H, Spring, TX 77373 | 2018-12-18 |
| 1275014425 | Tamara Allen | Registered Nurse | 23442 Azalea Hill Trail, Spring, TX 77373 | 2018-08-26 |
| 1194233965 | Next Level Mv LLC | Clinic/Center | 25750 Kuykendahl Rd, Ste A, Spring, TX 77373 | 2018-01-16 |
| 1164935359 | Stephanie Gotcher | Obstetrics & Gynecology | 19740 I- 45 North, Spring, TX 77373 | 2017-11-09 |
| 1003338930 | Honor and Peace Assisted Living Pllc | Nursing Care | 25710 Long Hill Lane, Spring, TX 77373 | 2017-07-12 |
| 1053854539 | Northside Surgical Assistants | Specialist/Technologist, Other | 24506 Fort Path Dr, Spring, TX 77373 | 2016-11-30 |
| 1376926279 | Hklp,pllc | Dentist | 19380 I-45, Suite #110, Spring, TX 77373 | 2015-07-09 |
| 1316339062 | Beyond Eye Care Pllc | Preferred Provider Organization | 25510 Buffalo Springs Ct, Spring, TX 77373 | 2015-03-04 |
| 1386059814 | Britton Legacy Enterprises, Inc | Home Health | 26029 Aldine Westfield Rd Ste 206, Spring, TX 77373 | 2014-06-23 |
| Find all providers in zip 77373 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336629690 | Axim Monitoring, Pllc | Specialist/Technologist, Other | 8765 Spring Cypress Rd # L134, Spring, TX 77379-3194 | 2018-08-16 |
| 1326380049 | Crystal Purdon | Specialist/Technologist, Other | 803 Spring Source Place, Spring, TX 77373 | 2013-03-20 |
| 1053657965 | Nedka Novakova | Specialist/Technologist, Other | 2346 Morgan Ridge Ln, Spring, TX 77386-3318 | 2012-12-20 |
| 1194148874 | Steven Purdon | Specialist/Technologist, Other | 803 Spring Source Pl, Spring, TX 77373-7077 | 2014-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154936706 | Austin A Almeida | Specialist/Technologist, Other | 6636 Deming Dr, Waco, TX 76712-7580 | 2020-09-10 |
| 1902411556 | Natalie Lily Avshman | Specialist/Technologist, Other | 10410 Legacy Cv, San Antonio, TX 78240-4421 | 2020-09-10 |
| 1124633706 | Andrea Monserrat Hernandez | Specialist/Technologist, Other | 9018 Savannah Loop, Laredo, TX 78046-5180 | 2020-09-10 |
| 1427661347 | Trumed Health Partners, LLC | Specialist/Technologist, Other | 5899 Preston Rd Ste 303, Frisco, TX 75034-9588 | 2020-08-29 |
| 1841816105 | Jordan Smith | Specialist/Technologist, Other | 7101 Bryant Irvin Rd Unit 34506, Fort Worth, TX 76162-5009 | 2020-06-23 |
| 1790301216 | Kenslie A Dews | Specialist/Technologist, Other | 114 Dews Dr, Whitehouse, TX 75791-5002 | 2020-06-20 |
| 1578198990 | Iom Opi LLC | Specialist/Technologist, Other | 3080 E Lakeside Dr, Beaumont, TX 77707-2400 | 2020-03-05 |
| 1558996058 | Careus Iom | Specialist/Technologist, Other | 17222 Kendall Ridge Ln, Houston, TX 77095-5199 | 2020-03-05 |
| 1114552627 | Caretact Management, LLC | Specialist/Technologist, Other | 5407 Southern Oaks, San Antonio, TX 78261-2485 | 2020-03-04 |
| 1063043503 | Forefront Medical Solutions, LLC. | Specialist/Technologist, Other | 7401 Boca Raton Dr, North Richland Hills, TX 76182-3265 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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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.