Organization Active NPI

Consultants in Neurology, SC

  • Neurology Physician
  • Mount Pleasant, WI
National Provider Identifier
1174594345
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CONSULTANTS IN NEUROLOGY, SC
Practice address
3805B Spring St Ste 250
Mt Pleasant, WI 53405-1643
Phone
(262) 631-8550
Fax
(262) 631-8557
NPI assigned
Jan 27, 2006
Last updated
Dec 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Kim Andersen
Title
Office Manager
Phone
(262) 631-8550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

3805B Spring St Ste 250
Mt Pleasant, WI 53405-1643

Mailing address

3805B Spring St Ste 250
Mt Pleasant, WI 53405-1643
Phone (262) 631-8550

National Provider Directory

National Provider Directory

Locations

7201 Green Bay Rd
Kenosha, WI 53142
Phone (262) 484-4035

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1174594345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 250",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534051643",
            "telephone_number": "262-631-8550",
            "fax_number": "262-631-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805B SPRING ST STE 250",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534051643",
            "telephone_number": "262-631-8550",
            "fax_number": "262-631-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN NEUROLOGY, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "262-631-8550"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.