NPIMap

Organization Active NPI

Neurology Indiana, LLC

  • Neurology Physician
  • Indianapolis, IN
National Provider Identifier
1174709562
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28124545A Issued in IN
Legal business name
NEUROLOGY INDIANA, LLC
Practice address
7250 Clearvista Parkway
Suite 330
Indianapolis, IN 46256
Phone
(317) 863-2095
Fax
(317) 863-2108
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Ms. Becky Naylor
Title
Supervisor
Phone
(317) 863-2095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 28124545A IN Primary

Addresses

Primary practice location

7250 Clearvista Parkway
Suite 330
Indianapolis, IN 46256

Mailing address

7321 Shadeland Station Way
Suite 275
Indianapolis, IN 46256
Phone (317) 863-2095

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1174709562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 SHADELAND STATION WAY",
            "address_2": "SUITE 275",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46256",
            "telephone_number": "317-863-2095",
            "fax_number": "317-863-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 CLEARVISTA PARKWAY",
            "address_2": "SUITE 330",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46256",
            "telephone_number": "317-863-2095",
            "fax_number": "317-863-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "317-863-2095",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "28124545A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.