Neurological Group

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NEUROLOGICAL GROUP

Practice address

4801 Johnson Rd
Suite 7
Coconut Creek, FL 33073-4359

Phone

(954) 428-1769

Fax

(954) 725-3725

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Loren Carey Hennick

Title

Owner

Phone

(954) 428-1769

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1619154176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 JOHNSON RD",
            "address_2": "SUITE 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734359",
            "telephone_number": "954-428-1769",
            "fax_number": "954-725-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 JOHNSON RD",
            "address_2": "SUITE 7",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734359",
            "telephone_number": "954-428-1769",
            "fax_number": "954-725-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HENNICK",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "CAREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-428-1769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Electroneurodiagnostic Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.