AXIS NEUROMONITORING SA, LLC (NPI# 1225639487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225639487 |
| Entity Type | Organization |
| Organization Name | AXIS NEUROMONITORING SA, LLC |
| Practice Address |
1819 Jay Ell Dr Ste 100 Richardson TX 75081-2064 |
| Practice Telephone | 8883442947 |
| Practice Fax Number | 8886942947 |
| Mailing Telephone | 8883442947 |
| Mailing Fax Number | 8886942947 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MELISSA BANES (OFFICE MANAGER) |
| Authorized Official Telephone | 4696093611 |
| 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 |
| Street Address |
1819 JAY ELL DR STE 100 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75081-2064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093013310 | Axis Neuromonitoring | Specialist/Technologist, Other | 1819 Jay Ell Dr Ste 100, Richardson, TX 75081-1837 | 2011-03-10 |
| 1407142235 | Atlas Neurophysiological Assessment, LLC | Electrodiagnostic Medicine | 1819 Jay Ell Dr Ste 100, Richardson, TX 75081-1837 | 2011-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305619 | Kasaundra Deleon | Pharmacy | 802 E Us Hwy, Richardson, TX 75081 | 2020-10-30 |
| 1265076806 | Stateserv Medical of Texas | Durable Medical Equipment & Medical Supplies | 1207 N. Glenview Drive, Richardson, TX 75081 | 2019-11-06 |
| 1831732890 | Cielo Camille Lopez | Registered Nurse | 908 Audelia Rd St. 200-pmb 170, Richardon, TX 75081 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1427530849 | Ladasha Danelle Gregory | Occupational Therapy Assistant | 744 Brick Row Dr Apt 2226, Richardson, TX 75081 | 2018-09-01 |
| 1013403427 | Camp Medical Management, LLC | Social Worker | 208 W. Spring Valley Rd, Richardson, TX 75081 | 2018-07-09 |
| 1710486238 | Sara Nourani-dargiri | Optometrist | 1332 S. Plano Rd Ste 112, Richardson, TX 75081 | 2018-02-10 |
| 1174044895 | Rebecka Kay Haats | Dentist | 644 Brick Row Dr. Apt 3211, Richardson, TX 75081 | 2017-07-03 |
| 1225418635 | Elizabeth Bands | Pharmacist | 930 East Campbell, Suite 200, Richardson, TX 75081 | 2015-06-02 |
| 1518344597 | Relationship Resolve | Public Health or Welfare | 800 Security Row, Suite 2, Richardson, TX 75081 | 2015-04-29 |
| Find all providers in zip 75081 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346594439 | Russell Alan Smith | Specialist/Technologist, Other | 1819 Jay Ell Dr # 1, Richardson, TX 75081-1837 | 2012-10-29 |
| 1093013310 | Axis Neuromonitoring | Specialist/Technologist, Other | 1819 Jay Ell Dr Ste 100, Richardson, TX 75081-1837 | 2011-03-10 |
| 1518282557 | Mindi L Sifuentes | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1472 | 2010-04-01 |
| 1740393974 | Lyle James Blaylock | Specialist/Technologist, Other | 1819 Jay Ell Dr, Richardson, TX 75081-1837 | 2006-08-15 |
| 1124639638 | George W. Whitehead Iv | Specialist/Technologist, Other | 1819 Jay Ell Dr, Richardson, TX 75081-2063 | 2020-08-10 |
| 1164055695 | Treme Healthcare, LLC | Specialist/Technologist, Other | 2011 N Collins Blvd Ste 711, Richardson, TX 75080-2689 | 2020-02-12 |
| 1780217216 | Bywater Healthcare, Pllc | Specialist/Technologist, Other | 2011 N Collins Blvd, Richardson, TX 75080-2636 | 2020-02-12 |
| 1598316234 | Peyton Michele Lasker | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1566 | 2019-09-24 |
| 1851942593 | Madison Leigh Marks | Specialist/Technologist, Other | 3400 Waterview Pkwy Ste 305, Richardson, TX 75080-1566 | 2019-09-24 |
| 1750848875 | Julia Madison Krantz | Specialist/Technologist, Other | 1819 Jay Ell Dr, Richardson, TX 75081-1837 | 2019-02-25 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75081 |
Please comment or provide details below to improve the information on AXIS NEUROMONITORING SA, LLC.
| 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.