Ambulatory Neurological Services, LLC

Primary specialty

EEG TechnicianTaxonomy code 2472E0500X

Legal business name

AMBULATORY NEUROLOGICAL SERVICES, LLC

Practice address

6901 W Emerald St
Ste 208
Boise, ID 83704-8660

Phone

(208) 350-7263

Fax

(866) 273-5772

NPI assigned

Jan 15, 2013

Last updated

Feb 16, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

AMBULATORY NEUROLOGICAL SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Miguel Iribarren

Title

Manager

Phone

(847) 340-9726

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Ambulatory Neurological Services, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • West Jordan, UT
  • NPI 1154631505

  9032262266

  Same PAC ID
• Ambulatory Neurological Services, LLC

  • EEG Technician
  • Hurricane, WV
  • NPI 1639452634

  9032262266

  Same PAC ID
• Ambulatory Neurological Services, LLC

  • EEG Specialist/Technologist
  • Centerville, OH
  • NPI 1700159480

  9032262266

  Same PAC ID

Part of

Ans Kentucky

Practitioners 3

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.

• Audie Christopher Espinoza, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Salt Lake City, UT
  • NPI 1912387598
  NPD (past)
• Matthew Thomas Sweney, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Salt Lake City, UT
  • NPI 1568581551
  NPD (past)
• Carey A. Wilson, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Burlington, VT
  • NPI 1255698726
  NPD (past)

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1578800116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28669",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980669",
            "telephone_number": "888-447-5904",
            "fax_number": "866-858-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 W EMERALD ST",
            "address_2": "STE 208",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837048660",
            "telephone_number": "208-350-7263",
            "fax_number": "866-273-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY NEUROLOGICAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMBULATORY NEUROLOGICAL SERVICES, LLC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "IRIBARREN",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-340-9726",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2472E0500X",
            "taxonomy_group": "",
            "desc": "Technician, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braxton Jaiden Amatangelo
• Deborah Ann Amato, O.D.
• Ambers House of Integrative Therapy for All Ages
• Sarai Ambert-Pompey, MD
• Amy M Ambrosier, PA-C
• Ambulatory Surgery Center of Boise
• Amee Hardy, LLC
• Kalin Amende, PHD, LPC, PCLC
• Jaume Amengual
• Hunter Meagan Ament, PHARM.D.

• Other Technician in Boise, ID
• Providers in Boise, ID by specialty
• Other Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.