PREMIER NEUROLOGICAL CARE (NPI# 1407221658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407221658 |
Entity Type | Organization |
Organization Name | PREMIER NEUROLOGICAL CARE |
Practice Address |
145 Riverstone Ter Canton GA 30114-5317 |
Practice Telephone | 4048247121 |
Mailing Telephone | 4048247121 |
Enumeration Date | 2015-12-14 |
Last Update Date | 2015-12-14 |
Authorized Official Name | DR. SAIMA KHURRAM (PHYSICAIN) |
Authorized Official Telephone | 4048247121 |
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 |
69470 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003133133E | 05 | |
GA | MEDICARE ID | 202I130631 | 01 |
Street Address |
145 RIVERSTONE TER |
City | CANTON |
State | GA |
Zip Code | 30114-5317 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821070830 | Karim Gani | Internal Medicine | 145 Riverstone Ter, Suite 100, Canton, GA 30114-5317 | 2005-11-16 |
1710149455 | Saima Khurram | Psychiatry & Neurology | 145 Riverstone Ter, Ste 102, Canton, GA 30114-5317 | 2008-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
Find all providers in zip 30114 |
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 |
---|---|---|---|---|
1689916199 | Precision Diagnostics LLC | Psychiatry & Neurology | 4153 Monarch Ave, Canton, MI 48188-7207 | 2013-03-22 |
1407006802 | Comprehensive Neurology of North Georgia, PC | Psychiatry & Neurology | 203 Oakside Ln, Suite A, Canton, GA 30114-6407 | 2008-09-23 |
1255382818 | Sailen K. Mukerjee | Psychiatry & Neurology | 7288 N Sheldon Rd, Canton, MI 48187-2150 | 2006-05-16 |
1922058023 | Faiz Ehsan Niaz | Psychiatry & Neurology | 203 Oakside Lane, Suite A, Canton, GA 30114 | 2006-05-11 |
1699129288 | Lane Andrew Fowler | Psychiatry & Neurology | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2016-04-20 |
1821470550 | Natanel Leibu | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 | 2015-06-18 |
1336553353 | Eric Bracken | Psychiatry & Neurology | 2600 6th St Sw, Canton, OH 44710-1702 | 2014-06-18 |
1265774566 | Damien Eugene Earl | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718 | 2013-03-25 |
1225370752 | Hamza Tarek Malek | Psychiatry & Neurology | 6119 Us Highway 11, Canton, NY 13617-3991 | 2013-03-22 |
1508155854 | Radhika Sampat | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | 2011-04-06 |
Find all providers in CANTON |
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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.