Organization Active NPI

Ionm, PA

  • Neurology Physician
  • Irving, TX
National Provider Identifier
1386049989
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
IONM, PA
Practice address
5005 W Royal LN
Suite 196
Irving, TX 75063-1996
Phone
(281) 346-3480
Fax
(832) 581-4677
NPI assigned
Oct 27, 2014
Last updated
Feb 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Authorized official

Name
Jeff Kropholler
Title
Director
Phone
(254) 221-2900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

5005 W Royal LN
Suite 196
Irving, TX 75063-1996

Mailing address

PO Box 205778
Dallas, TX 75320-5778
Phone (281) 346-3480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1386049989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 205778",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753205778",
            "telephone_number": "281-346-3480",
            "fax_number": "832-581-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 W ROYAL LN",
            "address_2": "SUITE 196",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631996",
            "telephone_number": "281-346-3480",
            "fax_number": "832-581-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IONM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "KROPHOLLER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "254-221-2900"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.