Axon Electrodiagnosis LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

DO25110 Issued in OR

Legal business name

AXON ELECTRODIAGNOSIS LLC

Practice address

9427 SW Barnes Rd
Ste 595
Portland, OR 97225-6652

Phone

(503) 292-7387

Fax

(503) 296-7835

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Max Barnett Duncan Jr., D.O.NPI 1114066974

Title

Owner

Phone

(503) 292-7387

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Max Barnett Duncan, D.O.

  • Neurology Physician
  • Santa Rosa, CA
  • NPI 1114066974
  NPD (past) Authorized official

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1538338488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD",
            "address_2": "STE 595",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256652",
            "telephone_number": "503-292-7387",
            "fax_number": "503-296-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9427 SW BARNES RD",
            "address_2": "STE 595",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256652",
            "telephone_number": "503-292-7387",
            "fax_number": "503-296-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXON ELECTRODIAGNOSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "BARNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-292-7387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO25110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022582",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethan Ray Axler
• Michael Shawn Axley, M.D.
• Elizabeth Axmaker
• Raizie R Axman, LPC
• Britt Axness, L.C.S.W.
• Sarah Herman Axtell, ND
• Shana Axthelm
• Dania Atef Ayach
• Stephanie Ayache
• Luis Miguel Ayala Rangel

• Neurology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Neurology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.