NEUROMAR (NPI# 1255546990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255546990 |
| Entity Type | Organization |
| Organization Name | NEUROMAR |
| Practice Address |
166 Industrial Dr. Festus MO 63028 |
| Practice Telephone | 6369316090 |
| Practice Fax Number | 6369339509 |
| Mailing Telephone | 6369316090 |
| Mailing Fax Number | 6369339509 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | JULIA M ZEVALLOS (OWNER) |
| Authorized Official Telephone | 6369316090 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2000160887 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 504599309 | 05 | |
| MO | RAILROAD MEDICARE PIN | DF9044 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | NeuroMark Genomics, Inc. | 1750 30th Street, Suite 622, Boulder, CO 80301 |
| Colorado Business Entities | Neuromark, Inc. | 1750 30th Street, Suite 622, Boulder, CO 80301 |
| Street Address |
166 INDUSTRIAL DR. |
| City | FESTUS |
| State | MO |
| Zip Code | 63028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| 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 |
|---|---|---|---|---|
| 1255426755 | Julia M Zevallos | Psychiatry & Neurology | 1400 Us Highway 61, Suite 150, Festus, MO 63028-4100 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665957 | Green Ring LLC | Psychiatry & Neurology | 7611 State Line Rd Ste 130, Kansas City, MO 64114-1696 | 2020-10-08 |
| 1356962799 | Mindsmattersmd LLC | Psychiatry & Neurology | 3305 Clark Ln, Pmb 130, Columbia, MO 65202-2404 | 2020-04-27 |
| 1316441470 | Earl Randolph Hackett | Psychiatry & Neurology | 2517 S. Brentwood, Springfield, MO 65804-3201 | 2018-03-22 |
| 1225547722 | Nikita M Maniar | Psychiatry & Neurology | 2301 Holmes St Dept Of, Kansas City, MO 64108-2640 | 2017-09-27 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871975672 | Byungkwan Hwang | Psychiatry & Neurology | 1605 Martin Springs Dr Ste 310, Rolla, MO 65401-2996 | 2015-06-29 |
| 1255747119 | Leah Brancheck | Psychiatry & Neurology | 111 Saint Lukes Center Dr Ste 20b, Chesterfield, MO 63017-3509 | 2014-07-10 |
| 1144648221 | Hala Samman | Psychiatry & Neurology | 1050 W 10th St Ste 350, Rolla, MO 65401-2905 | 2014-04-04 |
| 1710326939 | Emily Louise Evans | Psychiatry & Neurology | 1176 Town and Country Commons Dr, Chesterfield, MO 63017 | 2013-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NEUROMAR.
| 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.