Neuroshield Iom, LLC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

633 Issued in TX

Legal business name

NEUROSHIELD IOM, LLC

Practice address

803 Spring Source PL
Spring, TX 77373-7077

Phone

(832) 585-3897

NPI assigned

Mar 9, 2018

Last updated

Mar 9, 2018By 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

Steve Purdon, CNIM

Title

Owner/Cnim

Phone

(832) 585-3897

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.

• Steven Purdon, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Spring, TX
  • NPI 1194148874
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1093218638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321789",
            "telephone_number": "281-346-3480",
            "fax_number": "281-940-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 SPRING SOURCE PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737077",
            "telephone_number": "832-585-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSHIELD IOM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "PURDON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER/CNIM",
        "authorized_official_telephone_number": "832-585-3897",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "TX",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Spring, TX
• Providers in Spring, TX by specialty
• Electroneurodiagnostic Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.