Advanced Monitoring Services LLC
Organization Active NPI Electroneurodiagnostic Specialist/Technologist · Springdale, AR
NPI 1093854473 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1093854473
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- Legal business name
- ADVANCED MONITORING SERVICES LLC
- Practice address
- 3497 Wagon Wheel Rd
Springdale, AR 72762-0115 - Phone
- (877) 295-2554
- Fax
- (479) 445-6091
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Edward Bradley Vinson, CNIM
- Title
- Ceo
- Phone
- (877) 295-2554
Practitioners 28
-
Ryan L. Kaplan, MD
-
Amit Deepak Shah, M.D.
-
Edward Bradley Vinson, CNIM
-
Reid Bonner Gavin, AU.D.
-
Christopher Baehr, CNIM
-
Michael Brandan Blew, CNIM
-
Tanya D Collins, CNIM
-
James R Deangelo, CNIM
-
Heather A Halterman, CNIM
-
Jonathan Kimbrough, CNIM
-
Dennis W Peppers, CNIM
-
Holly C Shepherd, CNIM
-
Shane A Slaton, CNIM
-
Peyton E Standefer, CNIM
-
Andrew Stewart, CNIM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090105000042 | AR | Part B Supplier - Clinic/Group Practice | 6305908161 |
Receives reassigned benefits from 4 practitioners Practice locations: Rogers, AR; Springdale, AR; Forth Smith, AR; Fort Smith, AR; Fayetteville, AR; Bentonville, AR |
National Provider Directory
Locations
1672 E Joyce Blvd
Fayetteville, AR 72703
Phone (479) 444-8735
1001 Towson Ave
#Forth
Fort Smith, AR 72901
Phone (479) 441-4000
5201 Northshore Dr
North Little Rock, AR 72118
Phone (501) 748-8000
3721 S Champions Dr
Ste 100
Rogers, AR 72758
Phone (479) 336-5150
8650 Genesee Ave
Ste 214
San Diego, CA 92122
Phone (214) 621-7943
2710 Rife Medical Ln
Chicago, IL 60677
1619 K66
Galena, KS 66739
Phone (417) 347-7272
3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555
18601 FM 1431
Ste 104
Jonestown, TX 78645
Phone (512) 300-3409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | |||
| Electroneurodiagnostic Specialist/Technologist |
246ZE0600X | Yes | ||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
3497 Wagon Wheel Rd
Springdale, AR 72762-0115
Mailing address
PO Box 845
Lowell, AR 72745-0845
Phone (877) 295-2554
Other providers in Springdale, AR
- Jason Adams
- Keleigh S Adams
- Mary Ann Adams
- Serrhel G Adams Jr.
- Adapthealth - Missouri LLC
- Carol Ed Agana
- Ami Agbabli
- Marielie Heidi Agesilas
- Ahm Action Home Health, LP
- Ahm Action Home Health, LP
All providers in Springdale, AR · Electroneurodiagnostic Specialist/Technologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.