PRECISION NEUROMONITORING, LLC (NPI# 1699168567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699168567 |
| Entity Type | Organization |
| Organization Name | PRECISION NEUROMONITORING, LLC |
| Practice Address |
6600 York Rd Ste 210 Baltimore MD 21212-2024 |
| Mailing Address |
307 S Henry St Alexandria VA 22314-5900 |
| Practice Telephone | 4109839246 |
| Practice Fax Number | 4109952124 |
| Mailing Telephone | 4109839246 |
| Mailing Fax Number | 4109952124 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2020-04-01 |
| Authorized Official Name | TREAVOR KEITH ERNEY (CEO) |
| Authorized Official Telephone | 5714363897 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporation Entity | PRECISION NEUROMONITORING, LLC | 7014 13TH AVENUE, SUITE 202 , BROOKLYN, NEW YORK 11228 |
| Virginia Business Entity | Precision Neuromonitoring, LLC | 8014 WARREN DR NW , GIG HARBOR, WA 98335 |
| Street Address |
6600 YORK RD STE 210 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043736796 | Anthony M Cusanelli | Specialist/Technologist, Other | 6600 York Rd Ste 210, Baltimore, MD 21212-2024 | 2017-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| 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 |
|---|---|---|---|---|
| 1518293695 | Joon-yi Kang | Psychiatry & Neurology | 600 N Wolfe St, Meyer 2-147, Baltimore, MD 21287-0005 | 2009-10-26 |
| 1225276702 | The Good Samaritan Hospital of Maryland, Inc. | Psychiatry & Neurology | 5601 Loch Raven Blvd, Baltimore, MD 21239-2905 | 2009-01-22 |
| 1174788137 | Family & Children's Services of Central Md | Psychiatry & Neurology | 4623 Falls Rd, Baltimore, MD 21209-4914 | 2008-07-18 |
| 1861417545 | Greater Baltimore Medical Center, Inc. | Psychiatry & Neurology | 6701 N Charles St, Dept of Neurology, Baltimore, MD 21204-6808 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588701023 | Tanya J. Lehky | Psychiatry & Neurology | 10 Center Drive Nih, Building 10, Crc, Room 7-5680, Bethesda, MD 20892-0001 | 2007-02-01 |
| 1003978040 | Margaret Adams | Psychiatry & Neurology | 8388 Court Ave Ste 203, Ellicott City, MD 21043-4514 | 2006-12-15 |
| 1144395393 | Neuromonitoring Physicians, LLC | Psychiatry & Neurology | 9115 Kendale Rd, Potomac, MD 20854-4512 | 2006-11-22 |
| 1740393628 | Robert Joseph Hedaya | Psychiatry & Neurology | 7717 Oldchester Rd, Bethesda, MD 20817-6277 | 2006-08-16 |
| 1902880560 | Samina Anwar | Psychiatry & Neurology | 235 Mill St, Suite 1, Hagerstown, MD 21740-6114 | 2005-12-06 |
| 1336383835 | Lanham Neuro Science Center LLC | Psychiatry & Neurology | 9801 Greenbelt Rd, Suite 101, Lanham, MD 20706-2273 | 2009-04-28 |
| 1912166430 | Advanced Neurology and Sleep Center of Frederick | Psychiatry & Neurology | 174 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4423 | 2008-06-09 |
| 1578628814 | Melvin Woodao Kong | Psychiatry & Neurology | 5100 Auth Way, Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746-4207 | 2006-12-27 |
| 1093817983 | Samuel Goldberg | Psychiatry & Neurology | 10451 Twin Rivers Rd, Columbia, MD 21044-2388 | 2006-09-02 |
| 1447366349 | Mark Evan Landau | Psychiatry & Neurology | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20815 | 2006-08-22 |
| 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.