Phymed Neuromonitoring PLLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

PHYMED NEUROMONITORING PLLC

Practice address

16633 Dallas Pkwy Ste 125
Addison, TX 75001-6816

Phone

(214) 666-8386

Fax

(214) 666-8486

NPI assigned

Jul 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Johnny Wayne East, DO

Title

Owner

Phone

(214) 505-0833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1326610924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 125",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016816",
            "telephone_number": "214-666-8386",
            "fax_number": "214-666-8486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 125",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016816",
            "telephone_number": "214-666-8386",
            "fax_number": "214-666-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYMED NEUROMONITORING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-505-0833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.