Diva Intra-Operative Monitoring LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

DIVA INTRA-OPERATIVE MONITORING LLC

Practice address

444 Four States Dr
Galena, KS 66739-4324

Phone

(620) 783-4441

NPI assigned

Nov 19, 2015

Last updated

Jul 6, 2016By 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. Brian J Ipsen, M.D.

Title

Member

Phone

(620) 783-4441

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1437523065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394324",
            "telephone_number": "620-783-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOUR STATES DR",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394324",
            "telephone_number": "620-783-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVA INTRA-OPERATIVE MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "IPSEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "620-783-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Dainty, PTA
• Brandon D Davis, PA-C
• Paige A Dierks, PTA
• Digestive Health Center of the Four States, LLC
• Pamela Marie Distler, OTR
• Rodney N Dreier, PT
• Elite Pain Management, LLC
• Galena Nursing & Rehab, LLC
• Galena Usd499
• James Gilkerson, PA

• Neurological Surgery Physician in Galena, KS
• Providers in Galena, KS by specialty
• Neurological Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.