MODERN NEUROMONITORING, PLLC (NPI# 1942664792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942664792 |
| Entity Type | Organization |
| Organization Name | MODERN NEUROMONITORING, PLLC |
| Practice Address |
1302 Waugh Dr # 695 Houston TX 77019-3908 |
| Practice Telephone | 2812042217 |
| Mailing Telephone | 2812042217 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2018-07-10 |
| Authorized Official Name | LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2105982800 |
| 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 |
1302 WAUGH DR # 695 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77019-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992337802 | Phong Vo | Social Worker | 1501 Crocker Street, Suite Two, Houston, TX 77019 | 2020-02-08 |
| 1902442155 | Amin Ehsan | Dentist | 106 W Gray St, Houston, Houston, TX 77019 | 2019-11-22 |
| 1619445368 | Comfort Bosede Sofayo | Nurse Practitioner | 2506 Kingston St, Apt 2, Houston, TX 77019 | 2018-11-09 |
| 1659866366 | Dena Furman | Dietitian, Registered | 2221 W Dallas St Apt 381, Houston, TX 77019 | 2018-06-25 |
| 1255844494 | Kandi Denise Gamble | Licensed Practical Nurse | 1900 West Gray St, 130732, Houston, TX 77019 | 2017-11-09 |
| 1437668217 | Lawanda Hill | Psychologist | 2514 Kingston Street, Unit One, Houston, TX 77019 | 2017-09-25 |
| 1841715034 | The Vitalus Group LLC | Clinical Medical Laboratory | 2727 Allen Parkway Suite 1915, Houston, TX 77019 | 2017-08-08 |
| 1952825960 | Krista Bryla | Dietitian, Registered | 2027 Woodhead St, Houston, TX 77019 | 2017-08-01 |
| 1770015745 | George Ross Malik | Physical Medicine & Rehabilitation | 1005 S Shepherd Dr, Apt 412, Houston, TX 77019 | 2017-03-29 |
| 1437601390 | Montrose Eye Care, Pllc | Optometrist | 520 Waugh Dr, Houston, TX 77019 | 2016-10-26 |
| Find all providers in zip 77019 | ||||
| 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 |
|---|---|---|---|---|
| 1770195307 | Quor Health Iom LLC | Psychiatry & Neurology | 950 Threadneedle St Ste 120, Houston, TX 77079-2903 | 2020-08-17 |
| 1346560075 | Advanced Invasive Pain Management of Houston Pa | Psychiatry & Neurology | 2000 Crawford St Ste 1220, Houston, TX 77002-9089 | 2010-06-04 |
| 1811045404 | Kenneth Podell | Psychiatry & Neurology | 6560 Fannin St Ste 1840, Houston, TX 77030-2734 | 2007-01-08 |
| 1457460677 | Meyer L. Proler Md and Associates Inc | Psychiatry & Neurology | 1001 Texas St, Suite 450, Houston, TX 77002-3182 | 2006-08-30 |
| 1346239910 | Meyer Leon Proler | Psychiatry & Neurology | 1001 Texas Street, Suite 450, Houston, TX 77002-3182 | 2005-10-17 |
| 1528566403 | Flourish Tms Center, LLC | Psychiatry & Neurology | 950 Echo Ln Ste 200, Houston, TX 77024-2822 | 2018-01-25 |
| 1144730730 | N20 Iom | Psychiatry & Neurology | 10330 Lake Rd Ste E, Houston, TX 77070-1696 | 2017-10-09 |
| 1033415088 | Texas One Health Inc | Psychiatry & Neurology | 9898 Bissonnet St, 550, Houston, TX 77036-8270 | 2011-02-08 |
| 1942497870 | Shaun Smart | Psychiatry & Neurology | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2007-09-25 |
| 1295935195 | Tracy Lynne Veramonti | Psychiatry & Neurology | 1515 Holcombe Blvd, Houston, TX 77030-4095 | 2007-07-19 |
| Find all providers in HOUSTON | ||||
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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.