NPIMap

Organization Active NPI

Josephson-Wallack-Munshower Neurology PC

  • Neurology Physician
  • Mooresville, IN
National Provider Identifier
1669569729
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC
Practice address
1203 Hadley Rd Ste 202
Mooresville, IN 46158-1885
Phone
(317) 308-2800
Fax
(317) 859-4040
NPI assigned
Oct 9, 2006
Organization subpart
Yes
Parent organization
JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Nikki Swiney
Title
Executive Director
Phone
(317) 308-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X IN Primary

Addresses

Primary practice location

1203 Hadley Rd Ste 202
Mooresville, IN 46158-1885

Mailing address

6983 Hillsdale CT
Indianapolis, IN 46250-2054
Phone (317) 308-2800

Other identifiers 2

IdentifierTypeStateIssuer
CJ9849OtherMEDICARE RR
100218760LMedicaidIN

Other names 1

  • JWM Neurology PC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Josephson-Wallack-Munshower Neurology PC14 organizations share this tax ID, including this one
Part of
Josephson-Wallack-Munshower Neurology PC

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1669569729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6983 HILLSDALE CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502054",
            "telephone_number": "317-308-2800",
            "fax_number": "317-576-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 HADLEY RD STE 202",
            "city": "MOORESVILLE",
            "state": "IN",
            "postal_code": "461581885",
            "telephone_number": "317-308-2800",
            "fax_number": "317-859-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPHSON-WALLACK-MUNSHOWER NEUROLOGY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPHSON WALLACK MUNSHOWER NEUROLOGY PC",
        "enumeration_date": "2006-10-09",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "SWINEY",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-308-2800"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CJ9849",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218760L",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JWM Neurology PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JWM Neurology PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mooresville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.