GEORGIA NEUROPHYSIOLOGICAL MONITORING SERVICES, PC (NPI# 1265721559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265721559 |
| Entity Type | Organization |
| Organization Name | GEORGIA NEUROPHYSIOLOGICAL MONITORING SERVICES, PC |
| Practice Address |
76 Starbrush Cir Covington LA 70433 |
| Practice Telephone | 8668454595 |
| Practice Fax Number | 8668458810 |
| Mailing Telephone | 8668454595 |
| Mailing Fax Number | 8668458810 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | MICHAEL IAN VENGROW (PRESIDENT) |
| Authorized Official Telephone | 8668454595 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | INTRA-OP MONITORING SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
76 STARBRUSH CIR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404275 | Intra-op Monitoring Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2006-10-23 |
| 1609316066 | Neuroscience & Pain Institute LLC | Non-Pharmacy Dispensing Site | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-03-06 |
| 1932647971 | Brandie Brunet | Nurse Practitioner | 76 Starbrush Cir, Covington, LA 70433-7208 | 2017-02-10 |
| 1619426335 | Pain Associates Institute of Neurosciences | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-09-22 |
| 1457715930 | Garrett Michael Simoneaux | Physician Assistant | 76 Starbrush Cir, Covington, LA 70433-7208 | 2016-04-11 |
| 1003281577 | Neuroscience Center of The South | Physical Medicine & Rehabilitation | 76 Starbrush Cir, Covington, LA 70433-7208 | 2015-12-09 |
| 1659616696 | Diagnostic and Interventional Spinal Care of Louisiana | Orthopaedic Surgery | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-12-03 |
| 1447518386 | D'wan J Carpenter | Pain Medicine | 76 Starbrush Cir, Covington, LA 70433-7208 | 2012-04-29 |
| 1447549746 | New Jersey Neurophysiological Monitoring Serivces, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1578852869 | New York Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154404275 | Intra-op Monitoring Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2006-10-23 |
| 1437503323 | Olubusola Amiola | Psychiatry & Neurology | 648 Crestwood Blvd, Covington, LA 70433-8261 | 2016-04-18 |
| 1447549746 | New Jersey Neurophysiological Monitoring Serivces, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1578852869 | New York Neurophysiological Monitoring Services, PC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1649569930 | Texas Teleneuromonitoring Serivces, Pa | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-07 |
| 1164711941 | Neuraxis Physician Services, LLC | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433 | 2011-04-01 |
| 1497906671 | Neuro Physiological Services of New York | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-10-06 |
| 1336399062 | Texas Neuro Physiological Associates, P.a. | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-09-30 |
| 1184874810 | Neuro Physiological Associates of New Jersey, P.C. | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-09-30 |
| 1750531471 | Neuro Physiological Associates of Georgia, P.C. | Psychiatry & Neurology | 76 Starbrush Cir, Covington, LA 70433-7208 | 2008-09-30 |
| Find all providers in COVINGTON | ||||
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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.