Organization Active NPI

Comprehensive Neurosurgical Specialists, LLC

  • Neurological Surgery Physician
  • Evansville, IN
National Provider Identifier
1629105374
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
COMPREHENSIVE NEUROSURGICAL SPECIALISTS, LLC
Practice address
801 St Mary'S Drive
Suite 505 East
Evansville, IN 47714
Phone
(812) 471-3676
Fax
(812) 469-4124
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Matthew Bennett Kern, MD
Title
President
Phone
(812) 471-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

801 St Mary'S Drive
Suite 505 East
Evansville, IN 47714

Mailing address

801 St Mary'S Drive
Suite 505 East
Evansville, IN 47714
Phone (812) 471-3676

National Provider Directory

National Provider Directory

Locations

801 Saint Marys Dr
Ste 410W
Evansville, IN 47714
Phone (812) 471-3676

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1629105374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ST MARY'S DRIVE",
            "address_2": "SUITE 505 EAST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-471-3676",
            "fax_number": "812-469-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ST MARY'S DRIVE",
            "address_2": "SUITE 505 EAST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47714",
            "telephone_number": "812-471-3676",
            "fax_number": "812-469-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROSURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BENNETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-471-3676",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.