Organization Active NPI

Tri-City Neurology Associates, LTD.

  • Neurology Physician
  • Maryville, IL
National Provider Identifier
1609964543
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
3649365 Issued in IL
Legal business name
TRI-CITY NEUROLOGY ASSOCIATES, LTD.
Practice address
6828 State Route 162
Maryville, IL 62062-8558
Phone
(618) 288-5906
Fax
(618) 288-5914
NPI assigned
Oct 10, 2006
Last updated
Jan 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Authorized official

Name
Dr. Riaz A Naseer, M.D.NPI 1245345537
Title
Physician
Phone
(618) 288-5906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 3649365 IL Primary

Addresses

Primary practice location

6828 State Route 162
Maryville, IL 62062-8558

Mailing address

6828 State Route 162
Maryville, IL 62062-8558
Phone (618) 288-5906

National Provider Directory

National Provider Directory

Locations

6828 State Route 162
Maryville, IL 62062
Phone (618) 288-5084

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1609964543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6828 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628558",
            "telephone_number": "618-288-5906",
            "fax_number": "618-288-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6828 STATE ROUTE 162",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628558",
            "telephone_number": "618-288-5906",
            "fax_number": "618-288-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITY NEUROLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "NASEER",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-288-5906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "3649365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.