Danville Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

DANVILLE NEUROLOGY, LLC

Practice address

701 W Fairchild St
Lower Level
Danville, IL 61832-3745

Phone

(217) 431-8400

Fax

(217) 431-0387

NPI assigned

Jul 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Wahid A Tazudeen, M.D.

Title

Owner

Phone

(217) 431-8400

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13936/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1275940959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W FAIRCHILD ST",
            "address_2": "LOWER LEVEL",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323745",
            "telephone_number": "217-431-8400",
            "fax_number": "217-431-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W FAIRCHILD ST",
            "address_2": "LOWER LEVEL",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618323745",
            "telephone_number": "217-431-8400",
            "fax_number": "217-431-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "TAZUDEEN",
        "authorized_official_first_name": "WAHID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-431-8400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Physician in Danville, IL
• Providers in Danville, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.