Neurology Center of Kenosha, S.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

29016 Issued in WI

Legal business name

NEUROLOGY CENTER OF KENOSHA, S.C.

Practice address

704 55TH St
Kenosha, WI 53140-3732

Phone

(262) 656-8888

Fax

(262) 656-8892

NPI assigned

Sep 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Walter Jones Jr., M.D.NPI 1679630263

Title

President

Phone

(262) 656-8888

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Robert Walter Jones Jr., M.D.

  • Neurology Physician
  • Oshkosh, WI
  • NPI 1679630263
  NPD (past) Authorized official

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144327792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 55TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403732",
            "telephone_number": "262-656-8888",
            "fax_number": "262-656-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 55TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403732",
            "telephone_number": "262-656-8888",
            "fax_number": "262-656-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CENTER OF KENOSHA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-656-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "29016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31381100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "0500018",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darren Louis Nelson, DPT
• Jennifer Margaret Nelson, MD
• Joshua Nelson, P.T.
• Neu & Hill Physical Therapy, SC
• Mark J Neu, PT
• Neuropsychological Consultants Inc
• Neurowave Therapy Group LLC
• New Day Psychiatric Care, LLC
• Lisa Neyens, PHARMD
• Rebecca NG, MD, MPH

• Neurology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.