M & M NEUROLOGY, PLLC (NPI# 1669842399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669842399 |
| Entity Type | Organization |
| Organization Name | M & M NEUROLOGY, PLLC |
| Practice Address |
2407 S Congress Ave Ste E #286 Austin TX 78704-5500 |
| Practice Telephone | 5127179978 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | MICHAEL MOGHIMI (PRESIDENT) |
| Authorized Official Telephone | 5127179978 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
2407 S CONGRESS AVE STE E #286 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013343771 | Mdr Monitoring Pllc | Psychiatry & Neurology | 2407 S Congress Ave Ste E, #276, Austin, TX 78704-5500 | 2013-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| 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 |
|---|---|---|---|---|
| 1699878801 | Greater Austin Neurology Clinic Pa | Psychiatry & Neurology | 13915 N Mo Pac Expy, Suite 302, Austin, TX 78728-6517 | 2006-09-06 |
| 1174121586 | Parkinsons Restless Legs & Movement Disorder Specialists Pllc | Psychiatry & Neurology | 6618 Sitio Del Rio Blvd Ste D102, Austin, TX 78730-1148 | 2020-10-16 |
| 1922509983 | Ikechukwu Obih, Md Pllc | Psychiatry & Neurology | 4207 Burnet Rd, Austin, TX 78756-3316 | 2018-02-26 |
| 1548769979 | Ikechukwu Obih, Md Pllc | Psychiatry & Neurology | 4207 Burnet Rd, Austin, TX 78756-3316 | 2018-02-12 |
| 1699190876 | Neurology Clinic Pa | Psychiatry & Neurology | 601 W 17th St, Austin, TX 78701-1103 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
| 1811516503 | Onetwo Stars | Psychiatry & Neurology | 118 Broadway St Ste 221, San Antonio, TX 78205-2088 | 2020-04-13 |
| 1740832120 | Southwest Neurophysiology, Pllc | Psychiatry & Neurology | 800 W Arbrook Blvd Ste 340, Arlington, TX 76015-4317 | 2019-07-15 |
| 1902467640 | Advanced Neurophysiology Associates PC | Psychiatry & Neurology | 136 Eldridge Rd Ste A, Sugar Land, TX 77478-4646 | 2019-06-24 |
| 1750896973 | Velocity Neuro, LLC | Psychiatry & Neurology | 7555 Deerlodge Trl, Fort Worth, TX 76137-4138 | 2017-12-11 |
| 1316461304 | Cns Neueospinemonitoring Pllc | Psychiatry & Neurology | 26 E. Loftwood Cir, The Woodlands, TX 77382 | 2017-08-01 |
| 1336522051 | Comprehensive Neuromonitoring Pllc | Psychiatry & Neurology | 1411 N Loop 1064 E 105-612, San Antonio, TX 78232 | 2015-06-30 |
| 1225421829 | Alamo City Neurodiagnostics, Pllc | Psychiatry & Neurology | 14439 Nw Military Highway, Ste 108 #301, San Antonio, TX 78231-1648 | 2015-03-06 |
| 1912307216 | Nerve & Cord Monitoring, Pllc | Psychiatry & Neurology | 5706 E Mockingbird Lane, Ste 115 #404, Dallas, TX 75206-5461 | 2014-08-25 |
| 1477960128 | Cushing Neuromonitoring, Pllc | Psychiatry & Neurology | 3824 Ceder Spring Road, #380, Dallas, TX 75219 | 2014-07-15 |
| Find all providers with the same taxonomy | ||||
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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.