Periphery Neurophysiology

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

PERIPHERY NEUROPHYSIOLOGY

Practice address

49 Pleasant St
Epping, NH 03042-3512

Phone

(801) 674-9066

NPI assigned

Sep 20, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Donald Timm, CNIM, R. EEG T.NPI 1740750470

Title

Ceo

Phone

(801) 674-9066

Specialties & licenses 3

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Stanley Timm

  • Electroneurodiagnostic Specialist/Technologist
  • Las Vegas, NV
  • NPI 1740750470

  Electroneurodiagnostic

  NPD (past) Authorized official
• Reed Wiman, BS, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Epping, NH
  • NPI 1760025837

  Electroneurodiagnostic

  NPD

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1235780263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PLEASANT ST",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423512",
            "telephone_number": "801-674-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PLEASANT ST",
            "city": "EPPING",
            "state": "NH",
            "postal_code": "030423512",
            "telephone_number": "801-674-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIPHERY NEUROPHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-674-9066",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM, R. EEG T."
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.usmon.com",
            "affiliation": "Y",
            "endpointDescription": "HIPPA and HITEC Compliant Database for Intraoperative Neuromonitoring",
            "affiliationName": "U.S. DR Monitoring, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27 Waterford Cir",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537191588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Oconnell
• Joan Marie Papp, PHARMD
• Katie Beth Pare, DO
• Samantha Ann Parsons, DPT
• Partners Dental Care - Epping PLLC
• Katherine Renee Petersen, RPH
• Gabrielle Phaneuf
• Karen Dorer Poplaski, P.T.
• Ryan Poplaski, PT
• Positive Reinforcement ABA Therapy, Inc

• All providers in Epping, NH
• Electrodiagnostic Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.