Organization Active NPI

Surgical Neuromonitoring,PLLC

  • Electrodiagnostic Medicine Physician
  • Bellevue, WA
National Provider Identifier
1124338025
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X
Legal business name
SURGICAL NEUROMONITORING,PLLC
Practice address
10900 NE 4TH St Ste 2300
Bellevue, WA 98004-5882
Phone
(412) 406-7692
Fax
(412) 968-9113
NPI assigned
Oct 14, 2010
Organization subpart
No

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL, VA, TX, NY, SC, WV, PA, MD, AR, OR11 enrollments

Enrollment records 11

Enrollment IDStateProvider typePAC IDDetails
O20110307000007 WA Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 5 practitioners
Practice locations: Sunnyside, WA; Yakima, WA; Bellevue, WA
O20171207000223 FL Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 4 practitioners
Practice locations: Tallahassee, FL
O20180122002939 VA Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 5 practitioners
Practice locations: Lynchburg, VA; Mechanicsville, VA
O20191014003085 TX Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX
O20200121000835 NY Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY
O20221017001837 SC Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 7 practitioners
Practice locations: Charleston, SC; Summerville, SC; Florence, SC; North Charleston, SC
O20221017002422 WV Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 5 practitioners
Practice locations: Bridgeport, WV; Martinsburg, WV; Weirton, WV; Wheeling, WV
O20221018000068 PA Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 6 practitioners
Practice locations: Transfer, PA; Butler, PA; Titusville, PA; Sewickley, PA; Pittsburgh, PA; MC Kees Rocks, PA; Kittanning, PA; Chambersburg, PA…
O20221018000359 MD Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 7 practitioners
Practice locations: Annapolis, MD; Towson, MD; Salisbury, MD; Prince Frederick, MD; Pasadena, MD; Nottingham, MD; Linthicum Heights, MD; Largo, MD…
O20221018003164 AR Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 3 practitioners
Practice locations: Fort Smith, AR; Little Rock, AR
O20221025002093 OR Part B Supplier - Clinic/Group Practice 9537341003 Receives reassigned benefits from 5 practitioners
Practice locations: Portland, OR

National Provider Directory

National Provider Directory

Locations

2894 Remington Green Ln
Ste A
Tallahassee, FL 32308
Phone (206) 414-7465

155 Office Plaza Dr
Tallahassee, FL 32301
Phone (206) 414-7465

8109 Ritchie Hwy
Ste 250
Pasadena, MD 21122
Phone (240) 691-9311

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

5301 Southwest Pkwy
Ste 400
Austin, TX 78735
Phone (817) 301-4761

10900 NE 4th St
Ste 2300
Bellevue, WA 98004
Phone (412) 406-7629

509 Olive Way
Ste 1025
Seattle, WA 98101
Phone (206) 282-1763

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Dr. Gary Wayne Schurman, AU.D., CNIM, DABNMNPI 1225581283
Title
President
Phone
(412) 406-7692

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 204R00000X Primary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X

Addresses

Primary practice location

10900 NE 4TH St Ste 2300
Bellevue, WA 98004-5882

Mailing address

PO Box 5542
Pittsburgh, PA 15206-0542
Phone (972) 412-5299

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1124338025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5542",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152060542",
            "telephone_number": "972-412-5299",
            "fax_number": "469-453-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 NE 4TH ST STE 2300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045882",
            "telephone_number": "412-406-7692",
            "fax_number": "412-968-9113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL NEUROMONITORING,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2022-10-07",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "SCHURMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-406-7692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D., CNIM, DABNM"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.