Neurospine and Endovascular Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

NEUROSPINE AND ENDOVASCULAR CENTER LLC

Practice address

10500 W Loomis Rd Ste 120
Franklin, WI 53132-8030

Phone

(414) 488-1111

NPI assigned

May 29, 2020

Last updated

Dec 8, 2021By 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

Dr. Arvind Ahuja, MDNPI 1801857297

Title

Medical Director

Phone

(414) 488-1111

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275157943. Details of each certification follow.

• CCN 52C0001138 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 52C0001138

Legal name

NEUROSPINE AND ENDOVASCULAR CENTER LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Dec 23, 2021

Last certification

Dec 23, 2021

Ownership / control type

Proprietary

Facility address

10500 W Loomis Rd, Suite 120
Franklin, WI 53132

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Arvind Ahuja, M.D.

  • Neurological Surgery Physician
  • Franklin, WI
  • NPI 1801857297
  NPD Authorized official

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1275157943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-488-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 120",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-488-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSPINE AND ENDOVASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-488-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Nelson, APNP
• Valerie Nelson, MD
• Nest and Vine Pediatric Therapy LLC
• Jennifer A. Neubauer, APNP
• Neurocare LLC
• Neurosurgery and Endovascular Associates SC.
• Scott David Newcomer, DC
• Heidi Lee Newton, OCCUPATIONAL THERAPI
• Michael Nezworski, PT
• Thi My Linh Nguyen, DDS

• Ambulatory Surgical Clinic/Center in Franklin, WI
• Providers in Franklin, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.