West Side Neurology SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WEST SIDE NEUROLOGY SC

Practice address

2448 S 102ND St
Ste 125
West Allis, WI 53227-2466

Phone

(414) 328-3800

Fax

(414) 328-3818

NPI assigned

Oct 24, 2008

Organization subpart

No

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

Authorized official

Name

Jeff Dornburg

Title

Billing Admin

Phone

(414) 328-3800

Specialties & licenses 1

Addresses

Practitioners 1

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

• Feridoun Beroukhim, M.D.

  • Pediatrics Physician
  • West Allis, WI
  • NPI 1184642670
  NPD (past)

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1265685093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "STE 125",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "414-328-3800",
            "fax_number": "414-328-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST",
            "address_2": "STE 125",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272466",
            "telephone_number": "414-328-3800",
            "fax_number": "414-328-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SIDE NEUROLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "DORNBURG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "BILLING ADMIN",
        "authorized_official_telephone_number": "414-328-3800"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Allis Prescription Center Inc
• West Allis Primary Care Physicians, S.C.
• West Allis School District
• West Allis Surgery Center LLC
• West Park Place Senior Living Care
• Melissa L West, MS, CGC
• Westallisctd LLC
• Peyton Ann Westcott, PA-C
• Westlake Clinic, LLC
• Genevieve Marie Weston, MS CCC SLP

• Neurology Physician in West Allis, WI
• Providers in West Allis, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.