Organization Active NPI

Dendrite Intra-Operative Monitoring

  • EEG Specialist/Technologist
  • Louisville, KY
National Provider Identifier
1083854152
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Legal business name
DENDRITE INTRA-OPERATIVE MONITORING
Practice address
8813 Swan Hill Rd
Louisville, KY 40241-1149
Phone
(502) 554-0638
NPI assigned
Mar 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Elamir Elsherif, CNIM,DABNM
Title
Member
Phone
(502) 554-0638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0500X Primary

Addresses

Primary practice location

8813 Swan Hill Rd
Louisville, KY 40241-1149

Mailing address

8813 Swan Hill Rd
Louisville, KY 40241-1149
Phone (502) 554-0638

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1083854152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 SWAN HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411149",
            "telephone_number": "502-554-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 SWAN HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402411149",
            "telephone_number": "502-554-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENDRITE INTRA-OPERATIVE MONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "ELSHERIF",
        "authorized_official_first_name": "ELAMIR",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "502-554-0638",
        "authorized_official_credential": "CNIM,DABNM"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.