Organization Active NPI

Parkway Neuroscience and Spine Institute LLC

  • Neurological Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1609896067
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PARKWAY NEUROSCIENCE AND SPINE INSTITUTE LLC
Practice address
17 Western Maryland Pkwy
Suite 100
Hagerstown, MD 21740-5471
Phone
(301) 797-6389
NPI assigned
Jul 20, 2006
Last updated
May 29, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mrs. Cindy A Moser
Title
Billing Manager
Phone
(301) 797-6389

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Neurological Surgery Physician 207T00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU
Neurology Physician 2084N0400X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

17 Western Maryland Pkwy
Suite 100
Hagerstown, MD 21740-5471

Mailing address

17 Western Maryland Pkwy
Suite 100
Hagerstown, MD 21740-5471
Phone (301) 797-6389

Other identifiers 6

IdentifierTypeStateIssuer
W2660000OtherMDMD BLUE SHIELD
983143OtherPAPA BLUE SHIELD MD LOC
CI1442OtherRR MEDICARE
KG85OtherMDMD BLUE SHIELD
988178OtherPAPA BLUE SHIELD PA LOC
123707100MedicaidMD

National Provider Directory

National Provider Directory

Locations

194 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (240) 379-6636

13 Western Maryland Pkwy
#17
Hagerstown, MD 21740

13 Western Maryland Pkwy
Ste 104
Hagerstown, MD 21740
Phone (301) 665-4575

13 Western Maryland Pkwy
Ste 202
Hagerstown, MD 21740

17 Western Maryland Pkwy
#1
Hagerstown, MD 21740

17 Western Maryland Pkwy
Ste 202
Hagerstown, MD 21740

22 St Paul Dr
#1022
Chambersburg, PA 17201

755 Norland Ave
102
Chambersburg, PA 17201

757 Norland Ave
Ste 201
Chambersburg, PA 17201
Phone (717) 267-2563

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1609896067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WESTERN MARYLAND PKWY",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405471",
            "telephone_number": "301-797-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY NEUROSCIENCE AND SPINE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "301-797-6389",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE SHIELD",
            "identifier": "W2660000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD MD LOC",
            "identifier": "983143",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CI1442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD BLUE SHIELD",
            "identifier": "KG85",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BLUE SHIELD  PA LOC",
            "identifier": "988178",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123707100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.