Organization Active NPI

Mid-Town Neuromonitoring

  • Electroneurodiagnostic Specialist/Technologist
  • Golden, CO
National Provider Identifier
1083865778
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
MID-TOWN NEUROMONITORING
Practice address
607 10TH St
Suite 104
Golden, CO 80401-5817
Phone
(720) 308-4567
Fax
(303) 459-5180
NPI assigned
Oct 1, 2008
Last updated
Oct 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Adrian Panther
Title
Owner
Phone
(720) 308-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU Primary

Addresses

Primary practice location

607 10TH St
Suite 104
Golden, CO 80401-5817

Mailing address

PO Box 116
Milam, TX 75959-0116
Phone (720) 308-4567

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1083865778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "MILAM",
            "state": "TX",
            "postal_code": "759590116",
            "telephone_number": "720-308-4567",
            "fax_number": "303-459-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 10TH ST",
            "address_2": "SUITE 104",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015817",
            "telephone_number": "720-308-4567",
            "fax_number": "303-459-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-TOWN NEUROMONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "PANTHER",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-308-4567"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.