NPIMap

Organization Active NPI

Gazza Lab Neurology, PSC

  • Neurology Physician
  • Hopkinsville, KY
National Provider Identifier
1225240542
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
KY30882 Issued in KY
Legal business name
GAZZA LAB NEUROLOGY, PSC
Practice address
1830 High St
Suite a
Hopkinsville, KY 42240-1746
Phone
(270) 886-2559
Fax
(270) 886-0388
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Wendy U. Naimoli
Title
Director
Phone
(270) 886-2559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X KY30882 KY Primary

Addresses

Primary practice location

1830 High St
Suite a
Hopkinsville, KY 42240-1746

Mailing address

1830 High St
Suite a
Hopkinsville, KY 42240-1746
Phone (270) 886-2559

National Provider Directory

National Provider Directory

Locations

1830 High St
#A
Hopkinsville, KY 42240
Phone (270) 885-3876

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1225240542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 HIGH ST",
            "address_2": "SUITE A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401746",
            "telephone_number": "270-886-2559",
            "fax_number": "270-886-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HIGH ST",
            "address_2": "SUITE A",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422401746",
            "telephone_number": "270-886-2559",
            "fax_number": "270-886-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAZZA LAB NEUROLOGY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "NAIMOLI",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-886-2559"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "KY30882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.