Spectrum Neurology Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

201074 Issued in LA

Legal business name

SPECTRUM NEUROLOGY CENTER LLC

Practice address

3409 Division St
Metairie, LA 70002-4611

Phone

(504) 454-7246

Fax

(504) 454-3299

NPI assigned

Oct 1, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Troy Beaucoudray, MDNPI 1316105182

Title

Owner/Operator

Phone

(504) 454-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Troy Allan Beaucoudray, M.D.

  • Neurology Physician
  • Metairie, LA
  • NPI 1316105182
  Medicare reassignment NPD Authorized official
• Alexis Carimi, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Metairie, LA
  • NPI 1194144345
  Medicare reassignment NPD

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033512322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 DIVISION ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024611",
            "telephone_number": "504-454-7246",
            "fax_number": "504-454-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 DIVISION ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700024611",
            "telephone_number": "504-454-7246",
            "fax_number": "504-454-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM NEUROLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BEAUCOUDRAY",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "504-454-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "201074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayana Spears
• Kristen Kelly Spears, MS, CCC-SLP, BCBA
• Specialist Physicians LLC
• Specialized Diagnostics LLC
• Specialty Medical Equipment LLC
• Julia Liljeberg Speeg, PT, DPT
• Leslie Spence
• Jyteca Spencer
• Karen Spencer, FNP
• Doreen Speyrer, M.S., CCC-SLP

• Medical Specialty Clinic/Center in Metairie, LA
• Providers in Metairie, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.