AMBULATORY NEUROLOGICAL SERVICES, LLC (NPI# 1639452634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639452634 |
| Entity Type | Organization |
| Organization Name | AMBULATORY NEUROLOGICAL SERVICES, LLC |
| Practice Address |
3847 Teays Valley Rd Ste E Hurricane WV 25526-9622 |
| Mailing Address |
Po Box 28669 San Diego CA 92198-0669 |
| Practice Telephone | 3042509177 |
| Practice Fax Number | 8662735772 |
| Mailing Telephone | 8884475904 |
| Mailing Fax Number | 8662735772 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MR. MIGUEL IRIBARREN (PRESIDENT) |
| Authorized Official Telephone | 8473409726 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMBULATORY NEUROLOGICAL SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2472E0500X |
Technician, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659828986 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 109 Hinton Ave Ste 18, Wilmington, NC 28403-4772 | 2016-09-02 |
| 1578800116 | Ambulatory Neurological Services, LLC | Technician, Other | 6901 W Emerald St, Ste 208, Boise, ID 83704-8660 | 2013-01-15 |
| 1790004695 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 603 Fox Glen Ct, Barrington, IL 60010-1834 | 2010-05-18 |
| 1275867491 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 7300 Hudson Blvd N, Suite 220, Oakdale, MN 55128-7141 | 2009-09-21 |
| 1184051583 | Ambulatory Neurological Services, LLC | Psychiatry & Neurology | 1212 Bath Ave, Ste 535, Ashland, KY 41101-2680 | 2013-09-30 |
| 1700159480 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 10554 Success Ln, Ste C, Centerville, OH 45458-3658 | 2012-02-10 |
| 1154631505 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 8541 S Redwood Rd, Ste A1, West Jordan, UT 84088-9327 | 2010-10-19 |
| 1871735654 | Ambulatory Neurological Services, LLC | Specialist/Technologist, Other | 1333 College Ave, Suite L, South Milwaukee, WI 53172-1150 | 2009-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | AMBULATORY NEUROLOGICAL SERVICES, LLC | Ambulatory Neurological Services, LLC, P.o. Box 500, Wilmette, IL 60091 |
| Street Address |
3847 TEAYS VALLEY RD STE E |
| City | HURRICANE |
| State | WV |
| Zip Code | 25526-9622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326166463 | Kanawha Valley Neurology | Clinic/Center | 3847 Teays Valley Rd, Suite D, Hurricane, WV 25526-9622 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081707 | Paige E Walroth | Technician | 51 Overlook Dr, Hurricane, WV 25526 | 2020-10-21 |
| 1770195778 | Marilyn Sue Shank | Technician | 168 Willow Tree Way, Apt 313, Hurricane, WV 25526 | 2020-08-20 |
| 1275150351 | Wv Wellness and Recovery LLC | Clinic/Center | 4 Putnam Village Drive, Hurricane, WV 25526 | 2020-07-06 |
| 1538645718 | Patsy Samples | Technician | 3067 State Rt 34s, Hurricane, WV 25526 | 2018-07-11 |
| 1528550274 | Sarah Marie Jackson | Occupational Therapist | Genesis-putnam Center, 300 Seville Road, Hurricane, WV 25526 | 2018-05-30 |
| 1619466463 | Mh Psychological Services, Pllc | Psychologist | 125 Morris Ct, Hurricane, WV 25526 | 2018-05-08 |
| 1023510740 | William Riddle | Technician | 157 Washington Cirlce, Hurricane, WV 25526 | 2018-03-08 |
| 1942702303 | Natalie Whitman | Technician | 2933 State Route 34 South, Hurricane, WV 25526 | 2018-03-01 |
| 1972002681 | Dianna Roberts | Technician | 550 Dudding Avenue, Hurricane, WV 25526 | 2018-02-08 |
| 1174022875 | Nancy Adams | Technician | 1 Western Hills Drive, Hurricane, WV 25526 | 2018-02-08 |
| Find all providers in zip 25526 | ||||
| Taxonomy Code | 2472E0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811451925 | Neurotech, LLC | Technician, Other | 520 Grand Central Ave Unit 204-b, Vienna, WV 26105-2187 | 2019-01-23 |
Please comment or provide details below to improve the information on AMBULATORY NEUROLOGICAL SERVICES, LLC.
| 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.