Organization Active NPI

Midatlantic Neuromonitoring LLC

  • Neurology Physician
  • Burtonsville, MD
National Provider Identifier
1275738817
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
MIDATLANTIC NEUROMONITORING LLC
Practice address
15312 Spencerville CT
Suite 201
Burtonsville, MD 20866-1666
Phone
(240) 342-2811
Fax
(240) 342-2801
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Vernon Charles Thomas
Title
Managing Partner
Phone
(301) 370-0810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

15312 Spencerville CT
Suite 201
Burtonsville, MD 20866-1666

Mailing address

15312 Spencerville CT
Suite 201
Burtonsville, MD 20866-1666
Phone (240) 342-2811

National Provider Directory

National Provider Directory

Locations

15312 Spencerville Ct
Ste 201
Burtonsville, MD 20866
Phone (240) 342-2840

12301 Old Columbia Pike
Ste 210
Silver Spring, MD 20904
Phone (301) 370-0810

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1275738817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15312 SPENCERVILLE CT",
            "address_2": "SUITE 201",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661666",
            "telephone_number": "240-342-2811",
            "fax_number": "240-342-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15312 SPENCERVILLE CT",
            "address_2": "SUITE 201",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661666",
            "telephone_number": "240-342-2811",
            "fax_number": "240-342-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDATLANTIC NEUROMONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-370-0810"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.