Neuraxis Physician Services, LLC

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

Legal business name

NEURAXIS PHYSICIAN SERVICES, LLC

Practice address

76 Starbrush Cir
Covington, LA 70433

Phone

(866) 845-4595

Fax

(866) 845-8810

NPI assigned

Apr 1, 2011

Organization subpart

Yes

Parent organization

INTRA-OP MONITORING SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Roderick G. Johnson

Title

Ceo

Phone

(866) 845-4595

Specialties & licenses 1

Addresses

Part of

Intra-Op Monitoring Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Intra-Op Monitoring Services, LLC

  • Clinical Neurophysiology Physician
  • Covington, LA
  • NPI 1154404275
  NPPES parent name

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301616000000",
    "number": "1164711941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "866-845-4595",
            "fax_number": "866-845-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "866-845-4595",
            "fax_number": "866-845-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURAXIS PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTRA-OP MONITORING SERVICES, LLC",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "866-845-4595"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsay Neel, LCSW
• Sheira Neely, NP
• Ryan Scott Neill, PT
• Chris A Nelson
• Trista Nelson
• Neuro Care of Louisiana, LLC
• Neuro Physiological Associates of Georgia, P.C.
• Neuro Physiological Associates of New Jersey, P.C.
• Neuro Physiological Services of New York
• Neurocovery, LLC (Neurocovery)

• Clinical Neurophysiology Physician in Covington, LA
• Providers in Covington, LA by specialty
• Clinical Neurophysiology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.