Active NPI
Neurology Clinic LLC
- Neurology Physician
- Parsons, KS
National Provider Identifier
1548407752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 0426110
- Legal business name
- NEUROLOGY CLINIC LLC
- Practice address
- 3101 Main St
Parsons, KS 67357-2649 - Phone
- (620) 421-3392
- Fax
- (620) 421-5745
- NPI assigned
- Jan 9, 2009
- 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
- Dr. Devendra K. Jain, MD
- Title
- Owner
- Phone
- (620) 421-3392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 0426110 | KS | Primary |
Addresses
Primary practice location
3101 Main St
Parsons, KS 67357-2649
Mailing address
3101 Main St
PO Box 236
Parsons, KS 67357-2649
Phone (620) 421-3392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100184970C | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
11881 W 112th St
Ste 101B
Overland Park, KS 66210
3101 Main St
Parsons, KS 67357
1 Med Center Cir
Ste C
Pittsburg, KS 66762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Joplin, MO
- NPI 1295120533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384214400000",
"number": "1548407752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 MAIN ST",
"address_2": "PO BOX 236",
"city": "PARSONS",
"state": "KS",
"postal_code": "673572649",
"telephone_number": "620-421-3392",
"fax_number": "620-421-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 MAIN ST",
"city": "PARSONS",
"state": "KS",
"postal_code": "673572649",
"telephone_number": "620-421-3392",
"fax_number": "620-421-5745"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-09",
"last_updated": "2013-11-12",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "DEVENDRA",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "620-421-3392",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KS",
"license": "0426110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100184970C",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parsons, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.