INDIANA NEUROMONITORING LLC (NPI# 1194285460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194285460 |
| Entity Type | Organization |
| Organization Name | INDIANA NEUROMONITORING LLC |
| Practice Address |
7310 Greenview Dr Battle Ground IN 47920-9729 |
| Mailing Address |
Dept # 880303 Po Box 29650 Phoenix AZ 85038-9650 |
| Practice Telephone | 8003017334 |
| Mailing Telephone | 8003017334 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | MARIO BRKARIC (MEMBER) |
| Authorized Official Telephone | 8003017334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | IN MEDICAL LIC | 01061882A | 01 |
| Street Address |
7310 GREENVIEW DR |
| City | BATTLE GROUND |
| State | IN |
| Zip Code | 47920-9729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285756841 | Spectrum Community Services of Indiana LLC | Community Based Residential Treatment Facility, Mental Illness | 5038 Greenview Court, Battle Ground, IN 47920 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232157 | Kirstin Beal Wilson | Naturopath | 408 E Main St # 101, Battle Ground, WA 98604-8506 | 2020-10-13 |
| 1144828237 | William Garcia | Dentist | 1214 Sw Scotton Way Ste 101, Battle Ground, WA 98604-2715 | 2020-10-12 |
| 1821609793 | Maxwell Carl Sodorff | Dentist | 1215 Sw Scotton Way Ste 121, Battle Ground, WA 98604-2700 | 2020-08-13 |
| 1114535853 | Behind The Mask Therapy | Clinic/Center | 1908 Nw 4th Ave, Battle Ground, WA 98604-6823 | 2020-07-20 |
| 1134743461 | Healing Steps- Equine Centered Therapy LLC. | Occupational Therapist | 12608 Ne 299th St, Battle Ground, WA 98604-7700 | 2020-06-02 |
| 1598399750 | Tricia Karvonen | Registered Nurse | 21209 Ne 87th Ave, Battle Ground, WA 98604-9124 | 2020-02-26 |
| 1598307506 | Monica Ellen Meyer | Day Training/Habilitation Specialist | 18201 Ne Cedar Dr, Battle Ground, WA 98604-9250 | 2019-10-10 |
| 1154962215 | Sally Davidson | Technician | 1705 Nw 3rd St, Battle Ground, WA 98604-4352 | 2019-09-30 |
| 1457902660 | Holli Joanne Grote | Behavior Technician | 409 Sw 10th St, Battle Ground, WA 98604-2829 | 2019-09-28 |
| 1508423997 | Sonya Tran | Optometrist | 101 Nw 12th Ave Ste 101, Battle Ground, WA 98604-9145 | 2019-05-21 |
| Find all providers in BATTLE GROUND | ||||
| Taxonomy Code | 204R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Electrodiagnostic Medicine |
| Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairments of the neurologic, neuromuscular, and/or muscular systems. Qualified physicians are trained in performing electrophysiological testing and interpretation of the test data. They require knowledge in anatomy, physiology, kinesiology, histology, and pathology of the brain, spinal cord, autonomic nerves, cranial nerves, peripheral nerves, neuromuscular junction, and muscles. They must know clinical features and treatment of diseases of the central, peripheral, and autonomic nervous systems, as well as those of neuromuscular junction and muscle. Physicians also require special knowledge about electric signal processing, including waveform analysis, electronics and instrumentation, stimulation and recording equipment, and statistics. |
| Notes: Source: American Association of Neuromuscular & Electrodiagnostic Medicine, 2011. www.aanem.org [1/1/2011: new] Additional Resources: American Board of Electrodiagnostic Medicine, 2011. www.abemexam.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417581281 | Crossroads Neuromonitoring Services, LLC | Electrodiagnostic Medicine | 1075 Broad Ripple Ave # 345, Indianapolis, IN 46220-2034 | 2020-03-02 |
| 1427516079 | Es Medical Group LLC | Electrodiagnostic Medicine | 219 W Greyhound Pass, Carmel, IN 46032-7006 | 2019-03-03 |
| 1568928455 | Orbital Diagnostic, LLC | Electrodiagnostic Medicine | 921 E Dupont Rd # 888, Fort Wayne, IN 46825-1551 | 2019-02-15 |
| 1073096335 | Th Wilson Neuromonitoring Pllc | Electrodiagnostic Medicine | 3536 Helen Avenue Dr, Terre Haute, IN 47802-3426 | 2018-09-12 |
| 1518453802 | Cbw Neuromonitoring, LLC | Electrodiagnostic Medicine | 921 E Dupont Rd # 894, Fort Wayne, IN 46825-1551 | 2018-07-10 |
| 1124515572 | Spinal Concepts, LLC | Electrodiagnostic Medicine | 921 E Dupont Rd # 884, Fort Wayne, IN 46825-1551 | 2018-04-20 |
| 1104387521 | Interventional Spine and Joint Specialists, LLC | Electrodiagnostic Medicine | 24 Joliet St, Dyer, IN 46311-1705 | 2019-03-28 |
| City | BATTLE GROUND |
| Zip Code | 47920 |
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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.