Organization Active NPI

Commonwealth Neuro-Science Institute PLLC

  • Neurology Physician
  • Somerset, KY
National Provider Identifier
1467619924
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
03091 Issued in KY
Legal business name
COMMONWEALTH NEURO-SCIENCE INSTITUTE PLLC
Practice address
850 Hail Knob Rd
Suite a
Somerset, KY 42503-3418
Phone
(606) 425-4141
Fax
(606) 425-4142
NPI assigned
May 21, 2008
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Lori Ann Stuart, DO
Title
Physician/Owner
Phone
(985) 855-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 03091 KY Primary

Addresses

Primary practice location

850 Hail Knob Rd
Suite a
Somerset, KY 42503-3418

Mailing address

850 Hail Knob Rd
Suite a
Somerset, KY 42503-3418
Phone (606) 425-4141

Other identifiers 1

IdentifierTypeStateIssuer
00674OtherKYMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

850 Hail Knob Rd
#A
Somerset, KY 42503
Phone (606) 425-4141

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1467619924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 HAIL KNOB RD",
            "address_2": "SUITE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033418",
            "telephone_number": "606-425-4141",
            "fax_number": "606-425-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 HAIL KNOB RD",
            "address_2": "SUITE A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033418",
            "telephone_number": "606-425-4141",
            "fax_number": "606-425-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH NEURO-SCIENCE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "985-855-8405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "03091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00674",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.