Active NPI
Northwest Neurology, PLLC
- Neurology Physician
- Wilkesboro, NC
National Provider Identifier
1235554502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35748
- Legal business name
- NORTHWEST NEUROLOGY, PLLC
- Practice address
- 1520 Meadowview Dr
Wilkesboro, NC 28697-7348 - Phone
- (336) 838-7111
- Fax
- (336) 838-4299
- NPI assigned
- Feb 24, 2014
- Last updated
- Feb 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Martin Seales, M.D.
- Title
- Neurologist
- Phone
- (336) 838-7111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35748 | NC | Primary |
Addresses
Primary practice location
1520 Meadowview Dr
Wilkesboro, NC 28697-7348
Mailing address
1520 Meadowview Dr
Wilkesboro, NC 28697-7348
Phone (336) 838-7111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173867 | Other | NC MEDICARE PTAN | |
| 1952393605 | Other | NC | INDIVIDUAL NPI |
National Provider Directory
National Provider DirectoryLocations
1520 Meadowview Dr
Wilkesboro, NC 28697
Phone (336) 838-7111
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFFFBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- NPI 1952393605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393200000000",
"number": "1235554502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 MEADOWVIEW DR",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286977348",
"telephone_number": "336-838-7111",
"fax_number": "336-838-4299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 MEADOWVIEW DR",
"city": "WILKESBORO",
"state": "NC",
"postal_code": "286977348",
"telephone_number": "336-838-7111",
"fax_number": "336-838-4299"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST NEUROLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-24",
"last_updated": "2014-02-24",
"status": "A",
"authorized_official_last_name": "SEALES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "NEUROLOGIST",
"authorized_official_telephone_number": "336-838-7111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "35748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICARE PTAN",
"identifier": "2173867",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1952393605",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilkesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.