East Valley Neurosurgery, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

EAST VALLEY NEUROSURGERY, LLC

Practice address

2045 S Vineyard
142
Mesa, AZ 85210-6889

Phone

(480) 303-6010

Fax

(480) 507-0019

NPI assigned

Oct 29, 2008

Last updated

Sep 13, 2010By 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

Jennifer Farris

Title

Credentialing Specialist

Phone

(480) 478-6620

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 2

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.

• Niteen S Andalkar, MD

  • Neurological Surgery Physician
  • Mesa, AZ
  • NPI 1124057070
  Medicare reassignment NPD
• Bernadette Marie Andalkar, ACNP-BC

  • Nurse Practitioner
  • Mesa, AZ
  • NPI 1851681498
  NPD

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

{
    "created_epoch": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284336000000",
    "number": "1356594626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD",
            "address_2": "142",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-303-6010",
            "fax_number": "480-507-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD",
            "address_2": "142",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106889",
            "telephone_number": "480-303-6010",
            "fax_number": "480-507-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2010-09-13",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "480-478-6620"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Valley Kidney Specialist PLLC Health Care
• East Valley Medical Group, Inc.
• East Valley Medical Group, LLC
• East Valley Mobility Center, LLC
• East Valley Naturopathic Doctors
• East Valley OB/GYN
• East Valley Ophthalmology, LTD
• East Valley Orthodontics
• East Valley Outpatient Surgery, LLC
• East Valley Pain Relief, LLC

• Neurological Surgery Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.