NPIMap

Organization Active NPI

Axis Neuromonitoring

  • Electroneurodiagnostic Specialist/Technologist
  • Richardson, TX
National Provider Identifier
1093013310
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
AXIS NEUROMONITORING
Practice address
1819 Jay Ell Dr Ste 100
Richardson, TX 75081-1837
Phone
(888) 344-2947
Fax
(888) 694-2947
NPI assigned
Mar 10, 2011
Last updated
Jun 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Edward Lee Traweek
Title
Part Owner
Phone
(888) 344-2947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X TX Primary

Addresses

Primary practice location

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-1837

Mailing address

1819 Jay Ell Dr Ste 100
Richardson, TX 75081-1837
Phone (888) 344-2947

Other practice location 1

33518 Haley Rd
# 1
Waller, TX 77484-5110
Phone (888) 344-2947 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140328000214 TX Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2264663657 Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1093013310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 JAY ELL DR STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811837",
            "telephone_number": "888-344-2947",
            "fax_number": "888-694-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 JAY ELL DR STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811837",
            "telephone_number": "888-344-2947",
            "fax_number": "888-694-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33518 Haley Rd",
            "address_2": "# 1",
            "address_purpose": "LOCATION",
            "city": "Waller",
            "state": "TX",
            "postal_code": "774845110",
            "country_code": "US",
            "telephone_number": "888-344-2947 x3",
            "fax_number": "888-694-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AXIS NEUROMONITORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "TRAWEEK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "888-344-2947"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.