Neurologic Associates of Cape Girardeau, Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGIC ASSOCIATES OF CAPE GIRARDEAU, INC

Practice address

1359 N Mount Auburn Rd
Cape Girardeau, MO 63701-1727

Phone

(573) 651-3188

Fax

(573) 651-3048

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Robert E Gardner Jr., MD

Title

President

Phone

(573) 651-3188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Y Lee, MD

  • Neurology Physician
  • Cape Girardeau, MO
  • NPI 1861505703
  Medicare reassignment Care Compare group NPD
• Robert Earl Gardner Jr., MD

  • Neurology Physician
  • Cape Girardeau, MO
  • NPI 1649365917
  Medicare reassignment Care Compare group
• Robert E Gardner, MD

  • Neurology Physician
  • Cape Girardeau, MO
  • NPI 1346251436
  Medicare reassignment NPD
• Steven D Mellies, DO

  • Neurology Physician
  • Cape Girardeau, MO
  • NPI 1427088046
  NPD (past)
• Heather Miller, FNP

  • Family Nurse Practitioner
  • Cape Girardeau, MO
  • NPI 1396072120
  NPD (past)
• Charles M. Moon, MD

  • Dermatology Physician
  • Cape Girardeau, MO
  • NPI 1487712295
  NPD (past)
• Amy Lynn Willingham, PA-C, MSPA

  • Physician Assistant
  • Cape Girardeau, MO
  • NPI 1659649846
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1053435719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-651-3188",
            "fax_number": "573-651-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 N MOUNT AUBURN RD",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637011727",
            "telephone_number": "573-651-3188",
            "fax_number": "573-651-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC ASSOCIATES OF CAPE GIRARDEAU, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-06-26",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-651-3188",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tressa H Neely, CRNA
• Mitra Nejat-Bina, DDS
• Eric Michael Nelson, M.D.
• Rebecca Sue Nesler, PLPC
• Mary Christy Neubert, PTA
• Neurological Consultants of Cape Girardeau, L.L.C.
• New Vision Youth and Family Services Inc
• Ronald Brent New, MD
• Sydney Newell, DPT
• Dennis Nguyen, D.D.S.

• Neurology Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.