Neuromar

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

2000160887 Issued in MO

Legal business name

NEUROMAR

Practice address

166 Industrial Dr.
Festus, MO 63028

Phone

(636) 931-6090

Fax

(636) 933-9509

NPI assigned

May 14, 2007

Last updated

Jun 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia M Zevallos, M.D.NPI 1255426755

Title

Owner

Phone

(636) 931-6090

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Julia M Zevallos, M.D.

  • Neurology Physician
  • Festus, MO
  • NPI 1255426755
  Authorized official Same address or phone

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1255546990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 INDUSTRIAL DR.",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-931-6090",
            "fax_number": "636-933-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 INDUSTRIAL DR.",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "63028",
            "telephone_number": "636-931-6090",
            "fax_number": "636-933-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "ZEVALLOS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-931-6090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2000160887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "DF9044",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504599309",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venkata Nagireddi, MD
• Amie S. Nash, F.N.P.
• Heather Nass
• Nathan D. Williamson, D.M.D., LLC (Williamson Dental)
• Jaime Naucke
• Anika Abena Nicholas
• Tom J Nienhaus, PHARMD
• Gerard Patrick Nikodem, DDS
• John Nikodem, DDS
• Ryan Nikodem, D.D.S.

• Neurology Physician in Festus, MO
• Providers in Festus, MO by specialty
• Neurology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.