NPIMap

Organization Active NPI

Midwest Innovative Neurodiagnostics LLP

  • EEG Specialist/Technologist
  • Saint Paul, MN
National Provider Identifier
1255962098
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Legal business name
MIDWEST INNOVATIVE NEURODIAGNOSTICS LLP
Practice address
1766 Ross Ave
Saint Paul, MN 55106-4237
Phone
(612) 730-8028
NPI assigned
Jan 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Authorized official

Name
Meagan Weitzel, R.EEG.T
Title
Partner
Phone
(612) 730-8028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0600X
EEG Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZE0500X Primary

Addresses

Primary practice location

1766 Ross Ave
Saint Paul, MN 55106-4237

Mailing address

PO Box 403
Lakeville, MN 55044-0403
Phone (866) 447-6463

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585526400000",
    "number": "1255962098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550440403",
            "telephone_number": "866-447-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 ROSS AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551064237",
            "telephone_number": "612-730-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INNOVATIVE NEURODIAGNOSTICS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A",
        "authorized_official_last_name": "WEITZEL",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "612-730-8028",
        "authorized_official_credential": "R.EEG.T"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.