Active NPI
Huntsville Neurology Center
- Neurology Physician
- Huntsville, AL
National Provider Identifier
1417090366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 00022841
- Legal business name
- HUNTSVILLE NEUROLOGY CENTER
- Practice address
- 2350 Whitesburg Dr S
Huntsville, AL 35801-3818 - Phone
- (256) 258-0052
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ravi Yanamadula
- Title
- Office Manager
- Phone
- (256) 258-0052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 00022841 | AL | Primary |
Addresses
Primary practice location
2350 Whitesburg Dr S
Huntsville, AL 35801-3818
Mailing address
2350 Whitesburg Dr S
Huntsville, AL 35801-3818
Phone (256) 258-0052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51002898 | Other | AL | BLUE CROSS BLUE SHEILD |
Other names 1
- MADISON NEUROLOGY CENTER
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Sparks, NV
- NPI 1497722524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417090366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 WHITESBURG DR S",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013818",
"telephone_number": "256-258-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 WHITESBURG DR S",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358013818",
"telephone_number": "256-258-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNTSVILLE NEUROLOGY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YANAMADULA",
"authorized_official_first_name": "RAVI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "256-258-0052",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "AL",
"license": "00022841",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "51002898",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MADISON NEUROLOGY CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
- Huntsville Lung Associates, P.C.
- Huntsville Madison County Mental Health Board, Inc.
- Huntsville Metro Treatment Center
- Huntsville Nephrology Associates
- Huntsville Neurology
- Huntsville Neuropsychiatric Services, LLC
- Huntsville Nutrition Collective LLC
- Huntsville OB/GYN, Associates, P.a.
- Huntsville Oral and Maxillofacial Surgery Associates, PC
- Huntsville Pain Management, Inc.
Sources for this page
- 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.