Organization Active NPI

Neurology Specialists Inc

  • Neurology Physician
  • Dayton, OH
National Provider Identifier
1295924785
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY SPECIALISTS INC
Practice address
One Elizabeth Place
Suite 210 West Medical Plaza
Dayton, OH 45408-1445
Phone
(937) 495-0000
Fax
(937) 495-0140
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Alan K Jacobs, M.D.
Title
President
Phone
(937) 495-0000

Specialties & licenses 1

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

Addresses

Primary practice location

One Elizabeth Place
Suite 210 West Medical Plaza
Dayton, OH 45408-1445

Mailing address

One Elizabeth Place
Suite 210 West Medical Plaza
Dayton, OH 45408-1445
Phone (937) 495-0000

Other identifiers 1

IdentifierTypeStateIssuer
0162818MedicaidOH

National Provider Directory

National Provider Directory

Locations

1520 S Main St
Ste 230
Dayton, OH 45409
Phone (937) 495-0000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1295924785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "address_2": "SUITE 210 WEST MEDICAL PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-495-0000",
            "fax_number": "937-495-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE ELIZABETH PLACE",
            "address_2": "SUITE 210 WEST MEDICAL PLAZA",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-495-0000",
            "fax_number": "937-495-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-495-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0162818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.