TH Wilson Neuromonitoring PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

TH WILSON NEUROMONITORING PLLC

Practice address

3536 Helen Avenue Dr
Terre Haute, IN 47802-3426

Phone

(800) 310-7334

NPI assigned

Sep 12, 2018

Last updated

Apr 10, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

G Andrew Wilson, MD

Title

Sole Member

Phone

(800) 310-7334

Specialties & licenses 1

Addresses

Practitioners 1

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.

• George Andrew Wilson Jr., M.D.

  • Neurological Surgery Physician
  • Terre Haute, IN
  • NPI 1982680419
  NPD

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554854400000",
    "number": "1073096335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 880285 PO BOX 29654",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "800-310-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 HELEN AVENUE DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478023426",
            "telephone_number": "800-310-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TH WILSON NEUROMONITORING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2019-04-10",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "800-310-7334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrehaute Internal Medicine LLC
• Teresa Terrell
• Terry J. Gilman, D.D.S.
• Cassidy Tetmeyer, LMHC-A
• TH Senior Management, LLC (Wyndmoor Senior Living Community)
• Tuong Huu Thai
• The Bridges Council, Inc
• The Health and Hospital Corporation of Marion County (Springhill Village)
• The Ultimate Health and Fitness, LLC (Ultimate Physical Therapy)
• The Wyndmoor

• Electrodiagnostic Medicine Physician in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Electrodiagnostic Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.