IMMANUEL BRAIN, SPINE AND NERVE SURGERY, PA (NPI# 1326108200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326108200 |
| Entity Type | Organization |
| Organization Name | IMMANUEL BRAIN, SPINE AND NERVE SURGERY, PA |
| Practice Address |
624 Matlock Centre Cir Arlington TX 76015-2536 |
| Practice Telephone | 8177957337 |
| Practice Fax Number | 8177958393 |
| Mailing Telephone | 8177957337 |
| Mailing Fax Number | 8177958393 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2009-03-31 |
| Authorized Official Name | DR. KEVIN R. TEAL (PRESIDENT) |
| Authorized Official Telephone | 8177957337 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | J2368 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161312701 | 05 |
| Street Address |
624 MATLOCK CENTRE CIR |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902368483 | Subach Spinal Solutions | Neurological Surgery | 1635 N George Mason Dr Ste 150, Arlington, VA 22205-3679 | 2019-04-03 |
| 1710205265 | Clay Madison Elswick | Neurological Surgery | 515 W Mayfield Rd Ste 407, Arlington, TX 76014-2085 | 2010-05-07 |
| 1356515738 | Richard David Murray | Neurological Surgery | 1625 N George Mason Dr Ste 445, Arlington, VA 22205-3684 | 2008-04-17 |
| 1831384577 | Arlington Neurosurgical Association | Neurological Surgery | 1001 N Waldrop Dr Ste 401, Arlington, TX 76012-4703 | 2007-09-06 |
| 1598733776 | Brian R Subach | Neurological Surgery | 1635 N. George Mason Drive, Suite 150, Arlington, VA 22205 | 2006-03-14 |
| 1821087636 | Jeffrey W. Heitkamp | Neurological Surgery | 811 W Interstate 20 Ste 134, Arlington, TX 76017-5871 | 2005-10-14 |
| 1376548396 | Jacob Rosenstein | Neurological Surgery | 800 W Arbrook Blvd, Suite 150, Arlington, TX 76015-4327 | 2005-06-16 |
| 1205130465 | Mymd Health and Wellness | Neurological Surgery | 800 W Arbrook Blvd, 330, Arlington, TX 76015-4327 | 2011-01-03 |
| 1659692572 | Neurovirginia, Plc | Neurological Surgery | 1625 N George Mason Dr, Suite 445, Arlington, VA 22205-3683 | 2010-06-15 |
| 1689993172 | Nikhil Ravindra Nayak | Neurological Surgery | 1625 N George Mason Dr, Suite 445, Arlington, VA 22205-3683 | 2010-05-24 |
| Find all providers in ARLINGTON | ||||
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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.