Organization Active NPI

Neurocare Diagnostics

  • Neurology Physician
  • Evansville, IN
National Provider Identifier
1194903476
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01045757 Issued in IN
Legal business name
NEUROCARE DIAGNOSTICS
Practice address
520 Mary St
Suite380
Evansville, IN 47710-1677
Phone
(812) 424-2800
Fax
(812) 424-6473
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Donna L Lorenzo-Bueltel, MD
Title
Owner
Phone
(812) 424-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 01045757 IN Primary

Addresses

Primary practice location

520 Mary St
Suite380
Evansville, IN 47710-1677

Mailing address

520 Mary St
Suite380
Evansville, IN 47710-1677
Phone (812) 424-2800

National Provider Directory

National Provider Directory

Locations

520 Mary St
Ste 380
Evansville, IN 47710
Phone (812) 424-2800

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1194903476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MARY ST",
            "address_2": "SUITE380",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101677",
            "telephone_number": "812-424-2800",
            "fax_number": "812-424-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MARY ST",
            "address_2": "SUITE380",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101677",
            "telephone_number": "812-424-2800",
            "fax_number": "812-424-6473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "LORENZO-BUELTEL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-424-2800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01045757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

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