Neurodiagnostic Associates of Maryland PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NEURODIAGNOSTIC ASSOCIATES OF MARYLAND PC

Practice address

407 E Churchville Rd
Suite 102
Bel Air, MD 21014-3804

Phone

(410) 838-8991

Fax

(410) 877-9595

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

John Everett Wilson, D.O.NPI 1003803057

Title

President

Phone

(410) 838-8991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

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

• John Everett Wilson, D..O

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
  • NPI 1003803057
  Medicare reassignment NPD Authorized official
• Monica Nirschl, M.D.

  • Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
  • Jarrettsville, MD
  • NPI 1427095397
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083651897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CHURCHVILLE RD",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143804",
            "telephone_number": "410-838-8991",
            "fax_number": "410-877-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CHURCHVILLE RD",
            "address_2": "SUITE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143804",
            "telephone_number": "410-838-8991",
            "fax_number": "410-877-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIAGNOSTIC ASSOCIATES OF MARYLAND PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-838-8991",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Antoinette Nelson
• Thomas Nemer II, NP-C
• Neubaum Wellness Group LLC (Ultimate Health)
• Katharine Lee Sparrazza Neubaum, DC
• Neuro-Tech Inc
• Neuromonitoring Services of Ohio LLC
• Kelly Rose Neville, CRNP
• New Focus Healthcare & Behavioral Services LLC
• New Focus Healthcare & Behavioral Services LLC
• New York Neuromonitoring

• Physical Medicine & Rehabilitation Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Medicine & Rehabilitation Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.