AMBULATORY NEUROLOGICAL SERVICES, LLC (NPI# 1700159480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700159480 |
| Entity Type | Organization |
| Organization Name | AMBULATORY NEUROLOGICAL SERVICES, LLC |
| Practice Address |
10554 Success Ln Ste C Centerville OH 45458-3658 |
| Mailing Address |
Po Box 28669 San Diego CA 92198-0669 |
| Practice Telephone | 9373505341 |
| Practice Fax Number | 8662735772 |
| Mailing Telephone | 8884475904 |
| Mailing Fax Number | 8662735772 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | MR. MIGUEL IRIBARREN (MANAGER) |
| Authorized Official Telephone | 8473409726 |
| Is Organization Subpart | Y |
| Parent Organization Name | AMBULATORY NEUROLOGICAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0500X |
Specialist/Technologist, 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 |
| 1639452634 | Ambulatory Neurological Services, LLC | Technician, Other | 3847 Teays Valley Rd, Ste E, Hurricane, WV 25526-9622 | 2011-09-26 |
| 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 |
10554 SUCCESS LN STE C |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45458-3658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316273121 | Ddc Group Inc. | Home Health | 10554 Success Ln, Centerville, OH 45458-3658 | 2009-10-29 |
| 1851845481 | Anthony Hensley | Licensed Practical Nurse | 10554 Success Ln, Centerville, OH 45458-3658 | 2016-08-11 |
| 1629393947 | Ddc Group Inc Dba Brightstar Healthcare of Dayton | In Home Supportive Care | 10554 Success Ln, Suite C, Centerville, OH 45458-3658 | 2010-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1740770197 | Social Row Transitional Care, Inc. | Skilled Nursing Facility | 250 West Social Row Road, Centerville, OH 45458 | 2018-05-11 |
| 1326568833 | Mary Ann Horton | Registered Nurse | 1362 Hickoryview Ct, Dayton, OH 45458 | 2017-06-26 |
| 1487101911 | Brianna Burkman | Specialist/Technologist | 1400 Stone Ash Ct, Centerville, OH 45458 | 2016-09-01 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
| 1821450206 | Chi Living Communties | Skilled Nursing Facility | 1050 St. Leonard Way, Centerville, OH 45458 | 2016-03-24 |
| 1265842835 | Amanda Powell | Physical Therapist | 9582 Tahoe Drive, Centerville, OH 45458 | 2014-05-05 |
| 1255774337 | Rita Charlene Penley | Counselor | 99 South Main St, Centerville, OH 45458 | 2013-04-09 |
| 1447503933 | Martha Ann Sheldrick | Nurse Practitioner | 212 Walnut Grove Dr, Centerville, OH 45458 | 2012-10-21 |
| Find all providers in zip 45458 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265783468 | Marcie Warner | Specialist/Technologist, Other | 860 N Main St, Centerville, UT 84014-1613 | 2012-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283253 | Mackenzie Trau | Specialist/Technologist, Other | 5262 Providence Ridge Dr, Liberty Twp, OH 45011-9271 | 2018-07-30 |
| 1689965931 | Marioara Pop | Specialist/Technologist, Other | 6701 Rockside Rd Ste 210, Independence, OH 44131-2316 | 2011-04-20 |
| 1104448596 | Mfonobong E. Emah | Specialist/Technologist, Other | 8118 Corporate Way, Mason, OH 45040-7350 | 2020-05-08 |
| 1407348543 | Teal Lynn Taylor | Specialist/Technologist, Other | 8118 Corporate Way, Mason, OH 45040-7350 | 2018-06-05 |
| City | CENTERVILLE |
| Zip Code | 45458 |
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.