NPIMap

Organization Active NPI

Neurology Care Center, PC

  • Neurology Physician
  • Richmond, IN
National Provider Identifier
1669427860
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01050034A Issued in IN
Legal business name
NEUROLOGY CARE CENTER, PC
Practice address
1911 Chester Blvd
Richmond, IN 47374-0000
Phone
(765) 939-7711
Fax
(765) 939-1841
NPI assigned
May 24, 2006
Last updated
Apr 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Kelley J. Parnell, MDNPI 1154328896
Title
Physician Administrator
Phone
(765) 939-7711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 50004846A IN
Neurology Physician 2084N0400X 01050034A IN Primary
Neurology Physician 2084N0400X 01022975A IN
Neurology Physician 2084N0400X 01063768A IN

Addresses

Primary practice location

1911 Chester Blvd
Richmond, IN 47374-0000

Mailing address

1911 Chester Blvd
Richmond, IN 47374-0000
Phone (765) 939-7711

Other identifiers 3

IdentifierTypeStateIssuer
200817940MedicaidIN
200817940AMedicaidIN
200212580MedicaidIN

National Provider Directory

National Provider Directory

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1669427860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473740000",
            "telephone_number": "765-939-7711",
            "fax_number": "765-939-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473740000",
            "telephone_number": "765-939-7711",
            "fax_number": "765-939-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CARE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN ADMINISTRATOR",
        "authorized_official_telephone_number": "765-939-7711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "50004846A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01050034A",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01022975A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01063768A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200817940",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200817940A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200212580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.