INTRANERVE (NPI# 1225442619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225442619 |
| Entity Type | Organization |
| Organization Name | INTRANERVE |
| Practice Address |
115 West Sunset Avenue Snow Shoe PA 16874 |
| Practice Telephone | 8145742508 |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2014-06-13 |
| Authorized Official Name | MISS AMANDA RENEE ROUGEUX (IONM TECHNOLOGIST) |
| Authorized Official Telephone | 8145742508 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427422476 | Intranerve | Specialist/Technologist, Other | W253s7660 Forestview Ln, Waukesha, WI 53189-8306 | 2015-11-13 |
| 1992102503 | Intranerve | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2014-11-25 |
| 1558787903 | Intranerve | Specialist/Technologist, Other | 13 S Tejon St, Ste. 501, Colorado Springs, CO 80903-1513 | 2014-03-10 |
| 1760805758 | Intranerve | General Acute Care Hospital | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2014-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | INTRANERVE NEUROSCIENCE HOLDINGS, LLC | 24 S. Weber St, Suite 200, Colorado Springs, CO 80903 |
| Colorado Business Entities | IntraNerve, LLC | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903 |
| Oregon Corporations, Companies and Business Names | INTRANERVE, LLC | 13 S Tejon St Suite 501, Colorado Springs, CO 80903 |
| Iowa Business Entities | INTRANERVE, LLC | 13 South Tejon Street, Suite 501, Colorado Springs, CO 80903 |
| Indiana Business Entities | INTRANERVE, LLC | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903 |
| Street Address |
115 WEST SUNSET AVENUE |
| City | SNOW SHOE |
| State | PA |
| Zip Code | 16874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407018617 | Nathan A Pecht | Dentist | 115 S Moshannon Ave, Apt A, Snow Shoe, PA 16874 | 2008-06-28 |
| 1245546472 | Patricia A Butler | Nurse Practitioner | 402 E Sycamore Rd, Snow Shoe, PA 16874 | 2010-08-25 |
| 1326030065 | Snow Shoe Ambulance & Rescue Service | Ambulance | 492 W Sycamore Rd, Snow Shoe, PA 16874-0127 | 2005-08-18 |
| 1174615686 | Keystone Rural Health Consortia Inc | Clinic/Center | 402 East Sycamore Street, Snow Shoe, PA 16874-0402 | 2006-09-29 |
| 1023017050 | Tina Marie Green | Registered Nurse | 402 E Sycamore Rd, Box 398, Snow Shoe, PA 16874-8832 | 2005-07-20 |
| 1508889858 | Moshannon Valley Pharmacy Inc | Pharmacy | 402 E Sycamore Rd, Snow Shoe, PA 16874-8832 | 2006-07-26 |
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336793140 | Stephen Michael Osei-mensah | Specialist/Technologist, Other | 1653 Lititz Pike # 1067, Lancaster, PA 17601-6507 | 2019-07-30 |
| 1598326530 | Justine Smith | Specialist/Technologist, Other | 1653 Lititz Pike # 1054, Lancaster, PA 17601-6507 | 2019-06-20 |
| 1437718160 | Victoria Mitchell | Specialist/Technologist, Other | 508 Thresher Way, Lansdale, PA 19446-4054 | 2019-06-06 |
| 1730645144 | The Neuromonitoring Group, Lp | Specialist/Technologist, Other | 107 Autumn Way, Venetia, PA 15367-2308 | 2019-02-11 |
| 1821552951 | Surgical Neuromonitoring Services, LLC | Specialist/Technologist, Other | 1803 Apple Tree Ln, Bethlehem, PA 18015-5202 | 2019-01-23 |
| 1831682483 | Lorna Leon | Specialist/Technologist, Other | 201 Floral Vale Blvd # 201, Yardley, PA 19067-5524 | 2018-06-08 |
| 1366945461 | Danielle Nicole Allegra | Specialist/Technologist, Other | 12508 Torrey Rd, Philadelphia, PA 19154-1919 | 2018-03-14 |
| 1871046821 | Sarah Brady | Specialist/Technologist, Other | 1384 Old Freeport Rd Ste 2bf, Pittsburgh, PA 15238-3129 | 2016-07-26 |
| 1578929477 | Applied Neural Analytics LLC | Specialist/Technologist, Other | 2403 Golf Rd, Philadelphia, PA 19131-1416 | 2016-01-07 |
| 1609249952 | Tri-county Healthcare Institute LLC | Specialist/Technologist, Other | 106 Meadowbrook Dr, Huntingdon Valley, PA 19006-6835 | 2015-11-09 |
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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.