CNS Surgery Inc

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

12300 Issued in OK

Legal business name

CNS SURGERY INC

Practice address

333 S 38TH St Ste F
Muskogee, OK 74401-4937

Phone

(918) 682-8087

Fax

(918) 682-6449

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By 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

Dr. Charles Berry Fullenwider, M.D.NPI 1447245063

Title

President

Phone

(918) 682-8087

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Charles Berry Fullenwider, M.D.

  • Neurological Surgery Physician
  • Muskogee, OK
  • NPI 1447245063
  NPD Authorized official
• John W. Kevill, M.D.

  • Neurology Physician
  • Winnfield, LA
  • NPI 1548206618
  NPD (past)
• Richard Paul Paczynski, MD

  • Neurology Physician
  • Mechanicsburg, PA
  • NPI 1285694893
  NPD (past)
• Padmaja Vasireddy, M.B.B.S

  • Neurology Physician
  • Columbia, MO
  • NPI 1376749127
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396803060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST STE F",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-682-8087",
            "fax_number": "918-682-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST STE F",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-682-8087",
            "fax_number": "918-682-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNS SURGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLENWIDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "BERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-682-8087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OK",
            "license": "12300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Cleary
• Caroleanne N Cleland, BHRS
• Regina Annette Clemons-Cobb
• Cheryl D. Cleveland
• Joshua Don Cloud, RN
• Henry G Co, M.D.
• Rebekah Coats, PHARM. D.
• Lauran Janelle Cobb, PHARM.D.
• Terri Cobb, BHRS
• Barbara Annette Coble, A.A., BHA

• Neurological Surgery Physician in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Neurological Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.