Organization Active NPI

Neurology Diagnostics Inc

  • Neurology Physician
  • Dayton, OH
National Provider Identifier
1033162318
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY DIAGNOSTICS INC
Practice address
240 W Elmwood Dr
Suite 1000
Dayton, OH 45459-4296
Phone
(937) 224-8200
Fax
(937) 224-1770
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joel Vandersluis, M.D.NPI 1114922390
Title
Owner
Phone
(937) 224-8200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

240 W Elmwood Dr
Suite 1000
Dayton, OH 45459-4296

Mailing address

240 W Elmwood Dr
Suite 1000
Dayton, OH 45459-4296
Phone (937) 224-8200

Other identifiers 1

IdentifierTypeStateIssuer
2299589MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001497 OH Part B Supplier - Clinic/Group Practice 0345210910 Receives reassigned benefits from 4 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

240 W Elmwood Dr
Dayton, OH 45459

1 Elizabeth Pl
Ste B
Dayton, OH 45417
Phone (937) 224-8200

8605B N Dixie Dr
Dayton, OH 45414
Phone (937) 224-8200

240 W Elmwood Dr
Ste 100
Dayton, OH 45459

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1705/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1033162318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W ELMWOOD DR",
            "address_2": "SUITE 1000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594296",
            "telephone_number": "937-224-8200",
            "fax_number": "937-224-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W ELMWOOD DR",
            "address_2": "SUITE 1000",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594296",
            "telephone_number": "937-224-8200",
            "fax_number": "937-224-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "VANDERSLUIS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-224-8200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2299589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.