AFFILIATED NEUROLOGISTS PLLC (NPI# 1316090426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316090426 |
| Entity Type | Organization |
| Organization Name | AFFILIATED NEUROLOGISTS PLLC |
| Practice Address |
338 6th St Suite 102 Lewiston ID 83501-2419 |
| Practice Telephone | 2087463320 |
| Practice Fax Number | 2087468717 |
| Mailing Telephone | 2087463320 |
| Mailing Fax Number | 2087468717 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK RANDALL KEANE (MEMBER) |
| Authorized Official Telephone | 2087463320 |
| 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 |
M7728 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7088867 | 05 |
| Street Address |
338 6TH ST SUITE 102 |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699333807 | Roger Jeffrey Call | Pharmacist | 338 6th St, Lewiston, ID 83501-2420 | 2019-06-03 |
| 1720582638 | Amie L Scheinost | Nurse Practitioner | 338 6th St, Lewiston, ID 83501-2420 | 2018-03-23 |
| 1851731491 | Sarah J Glenn | Social Worker | 338 6th St, Lewiston, ID 83501-2420 | 2013-06-27 |
| 1609150770 | Michael Joseph Stamper | Pharmacist | 338 6th St, Lewiston, ID 83501 | 2011-10-06 |
| 1770804320 | Jason Hooper | Counselor | 338 6th St, Lewiston, ID 83501 | 2010-06-17 |
| 1003137050 | William R. Bozarth, M.d., P.s. | Psychiatry & Neurology | 338 6th St, Suite 102, Lewiston, ID 83501-2419 | 2010-06-14 |
| 1235372707 | Community Health Association of Spokane | Clinic/Center | 338 6th St, Suite 101, Lewiston, ID 83501-2419 | 2009-04-14 |
| 1043425556 | Marsha D Goeckner | Pharmacist | 338 6th St, Suite 101, Lewiston, ID 83501-2419 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1174691273 | Elizabeth Anne Doherty | Psychiatry & Neurology | 819 Hackney Ln, Lewiston, NY 14092-2053 | 2006-11-30 |
| 1407958994 | Bradley Thomas Truax | Psychiatry & Neurology | 471 Fort Gray Dr, Lewiston, NY 14092-1941 | 2006-09-04 |
| 1639103997 | Carl D Robinson | Psychiatry & Neurology | 99 Campus Ave Ste 402, Lewiston, ME 04240-6045 | 2006-07-10 |
| 1881695534 | Jean K Thomas | Psychiatry & Neurology | 307 Saint Johns Way Ste 1, Lewiston, ID 83501-2435 | 2005-08-03 |
| 1730476839 | Alison Claire Daigle | Psychiatry & Neurology | 99 Campus Ave, Suite 402, Lewiston, ME 04240-6045 | 2011-07-09 |
| 1033412069 | Baljinder Singh | Psychiatry & Neurology | 5320 Military Rd, Suite 101, Lewiston, NY 14092-2149 | 2010-12-14 |
| 1003137050 | William R. Bozarth, M.d., P.s. | Psychiatry & Neurology | 338 6th St, Suite 102, Lewiston, ID 83501-2419 | 2010-06-14 |
| 1356539415 | Baljinder Singh | Psychiatry & Neurology | 5300 Military Rd, Lewiston, NY 14092-1903 | 2007-10-13 |
| 1922217678 | Natasha Vanessa Demattos | Psychiatry & Neurology | 3326 4th St, Suite 6, Lewiston, ID 83501-5890 | 2007-05-21 |
| 1316970254 | David M Burke | Psychiatry & Neurology | 99 Campus Ave, Suite 402, Lewiston, ME 04240-6045 | 2006-07-07 |
| Find all providers in LEWISTON | ||||
Please comment or provide details below to improve the information on AFFILIATED NEUROLOGISTS PLLC.
| 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.