Organization Active NPI

Neuromed,Inc

  • Electroneurodiagnostic Specialist/Technologist
  • Manchester, TN
National Provider Identifier
1639395213
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Legal business name
NEUROMED,INC
Practice address
917 McArthur St
Manchester, TN 37355-2325
Phone
(931) 723-8839
Fax
(931) 723-1456
NPI assigned
Apr 18, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Michael Zuccaro
Title
President
Phone
(931) 723-8839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246ZE0600X Primary

Addresses

Primary practice location

917 McArthur St
Manchester, TN 37355-2325

Mailing address

PO Box 627
Tullahoma, TN 37388-0627
Phone (931) 723-8839

Other identifiers 1

IdentifierTypeStateIssuer
3060542OtherTNBCBS PROVIDER GRP #

Other names 1

  • Neuromed Other name

National Provider Directory

National Provider Directory

Locations

610 W Due West Ave
Ste 325
Madison, TN 37115
Phone (800) 759-6374

917 McArthur St
Manchester, TN 37355
Phone (931) 723-3334

Practitioners & affiliated clinicians

Practitioners 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1639395213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 627",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373880627",
            "telephone_number": "931-723-8839",
            "fax_number": "931-723-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552325",
            "telephone_number": "931-723-8839",
            "fax_number": "931-723-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMED,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "ZUCCARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-723-8839"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER GRP #",
            "identifier": "3060542",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neuromed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.