Organization Active NPI

Neurohelath Center PLLC

  • Neurology Physician
  • Longview, TX
National Provider Identifier
1447478169
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L4660 Issued in TX
Legal business name
NEUROHELATH CENTER PLLC
Practice address
713 N 4TH St
Suite #2
Longview, TX 75601-5412
Phone
(903) 757-7056
Fax
(903) 757-7260
NPI assigned
Apr 20, 2007
Last updated
Nov 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Uma Pulipaka, MDNPI 1700881562
Title
President
Phone
(903) 757-7056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L4660 TX Primary

Addresses

Primary practice location

713 N 4TH St
Suite #2
Longview, TX 75601-5412

Mailing address

PO Box 1432
Longview, TX 75606-1432
Phone (903) 757-7056

Other identifiers 1

IdentifierTypeStateIssuer
152867101MedicaidTX

National Provider Directory

National Provider Directory

Locations

713 N 4th St
Ste 2
Longview, TX 75601
Phone (430) 240-8767

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": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1447478169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1432",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756061432",
            "telephone_number": "903-757-7056",
            "fax_number": "903-757-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 N 4TH ST",
            "address_2": "SUITE #2",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015412",
            "telephone_number": "903-757-7056",
            "fax_number": "903-757-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROHELATH CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "PULIPAKA",
        "authorized_official_first_name": "UMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-757-7056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L4660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152867101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.