The Neuroscience Team LLC

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

D0037279 Issued in MD

Legal business name

THE NEUROSCIENCE TEAM LLC

Practice address

22 West Rd
Suite 100
Towson, MD 21204-2326

Phone

(410) 828-8700

Fax

(410) 828-5620

NPI assigned

Feb 16, 2015

Organization subpart

No

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

Authorized official

Name

Walter E Kozachuk, M.D.

Title

Neurologist

Phone

(410) 828-8700

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1679964480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WEST RD",
            "address_2": "SUITE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042326",
            "telephone_number": "410-828-8700",
            "fax_number": "410-828-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WEST RD",
            "address_2": "SUITE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042326",
            "telephone_number": "410-828-8700",
            "fax_number": "410-828-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEUROSCIENCE TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "KOZACHUK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "410-828-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MD",
            "license": "D0037279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01921410",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Chestnut Partnership
• The Focus and Mind Lab LLC
• The Goode Doctor LLC
• The Great Atlantic and Pacific Tea Company Inc
• The Holden Grace Group LLC
• The Neuroscience Team LLC
• The Nutrition Connection, LLC
• The Pacific Homecare LLC
• The Renfrew Center
• The Resource Group

• Neuromusculoskeletal Medicine & OMM Physician in Towson, MD
• Providers in Towson, MD by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.