Active NPI
Neurology Specialists, LLC
- Neurology Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 36061
- Legal business name
- NEUROLOGY SPECIALISTS, LLC
- Practice address
- 4500 Park Glen Road
Suite 160
Saint Louis Park, MN 55416-4888 - Phone
- (952) 767-7771
- Fax
- (952) 767-7774
- NPI assigned
- Apr 10, 2007
- Last updated
- Apr 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katie L Witschen
- Title
- Office Manager
- Phone
- (952) 767-7771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 36061 | MN | Primary |
Addresses
Primary practice location
4500 Park Glen Road
Suite 160
Saint Louis Park, MN 55416-4888
Mailing address
4500 Park Glen Road
Suite 160
Saint Louis Park, MN 55416-4888
Phone (952) 767-7771
National Provider Directory
National Provider DirectoryLocations
625 E Nicollet Blvd
Ste 325
Burnsville, MN 55337
Phone (763) 377-9222
514 Saint Peter St
Ste 280
Saint Paul, MN 55102
Phone (651) 291-2551
4500 Park Glen Rd
Ste 160
St Louis Park, MN 55416
Phone (952) 767-7771
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.
-
- Neurology Physician
- St Louis Park, MN
- NPI 1386718765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333324800000",
"number": "1659494961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 PARK GLEN ROAD",
"address_2": "SUITE 160",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164888",
"telephone_number": "952-767-7771",
"fax_number": "952-767-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PARK GLEN ROAD",
"address_2": "SUITE 160",
"city": "SAINT LOUIS PARK",
"state": "MN",
"postal_code": "554164888",
"telephone_number": "952-767-7771",
"fax_number": "952-767-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY SPECIALISTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-10",
"last_updated": "2012-04-02",
"status": "A",
"authorized_official_last_name": "WITSCHEN",
"authorized_official_first_name": "KATIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "952-767-7771",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MN",
"license": "36061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.