NPIMap

Organization Active NPI

Innervate Neurophysiology

  • Clinical Neurophysiology Physician
  • Baltimore, MD
National Provider Identifier
1134666159
Registry record updated Jan 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
INNERVATE NEUROPHYSIOLOGY
Practice address
6400 Baltimore National Pike
#348
Baltimore, MD 21228-3930
Phone
(202) 670-8843
NPI assigned
Jan 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2017

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

Authorized official

Name
James SilvaNPI 1386068153
Title
Principal
Phone
(202) 670-8843

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X
Vascular Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084V0102X
Other Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Z00000X
Electroneurodiagnostic Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0600X
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X

Addresses

Primary practice location

6400 Baltimore National Pike
#348
Baltimore, MD 21228-3930

Mailing address

6400 Baltimore National Pike
#348
Baltimore, MD 21228-3930

Other names 1

  • Innervate Neuro Other name

National Provider Directory

National Provider Directory

Locations

6400 Baltimore National Pike
#348
Baltimore, MD 21228
Phone (202) 670-8843

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485561600000",
    "number": "1134666159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE",
            "address_2": "#348",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 BALTIMORE NATIONAL PIKE",
            "address_2": "#348",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212283930",
            "telephone_number": "202-670-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERVATE NEUROPHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-28",
        "last_updated": "2017-01-28",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "202-670-8843"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innervate Neuro",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; 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.