Electro Diagnostic Medicine and Rehabilitation Specialists LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ELECTRO DIAGNOSTIC MEDICINE AND REHABILITATION SPECIALISTS LLC

Practice address

10547 Montgomery Rd
Ste 700
Montgomery, OH 45242-4418

Phone

(513) 489-8000

Fax

(513) 247-2782

NPI assigned

Jul 1, 2005

Last updated

Jul 24, 2013By 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

Brandy Kilgore

Title

Emars Office Manager

Phone

(513) 489-8000

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1154328425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10547 MONTGOMERY RD STE 700",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424418",
            "telephone_number": "513-489-8000",
            "fax_number": "513-247-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10547 MONTGOMERY RD",
            "address_2": "STE 700",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424418",
            "telephone_number": "513-489-8000",
            "fax_number": "513-247-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTRO DIAGNOSTIC MEDICINE AND REHABILITATION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-01",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "EMARS OFFICE MANAGER",
        "authorized_official_telephone_number": "513-489-8000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582669",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65938516",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy William Dudgeon, RPH
• Monique Duffus
• Logan Douglas Durst, PHARMD
• John A Eckman, M.D.
• Charles Jason Ehrhardt
• Joshua A Elliott, LPCC
• Bryan Jon Ellis, D.O.
• Iten Elyassaki
• Dennis Emuron, M.B.CH.B
• Eyestyle of America LTD (www.befitting.com)

• Specialist in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.