Neurodiagnostic Center PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEURODIAGNOSTIC CENTER PA

Practice address

107 Medical Park Dr
Lufkin, TX 75904-3135

Phone

(936) 634-6333

Fax

(936) 634-6337

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Sunil Cherry, MDNPI 1659559763

Title

Owner/President

Phone

(936) 634-6333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Sunil Cherry

  • Neurology Physician
  • Lufkin, TX
  • NPI 1659559763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1164087748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MEDICAL PARK DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043135",
            "telephone_number": "936-634-6333",
            "fax_number": "936-634-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL PARK DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043135",
            "telephone_number": "936-634-6333",
            "fax_number": "936-634-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIAGNOSTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "936-634-6333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nec Lufkin Emergency Center
• Neches Opco LLC
• Alex Jace Nelson, ATC, LAT
• Shellie Nerren, PT
• Amanda Nesbett
• Billy Newsome, CRNA
• George William Newton, M.D.
• Grace Anne Newton, SLP
• Duc Nguyen
• Kevin Huu Nguyen

• Neurology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.