Advanced Neurosurgery LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

01026616A Issued in IN

Legal business name

ADVANCED NEUROSURGERY LLC

Practice address

3903 S 7TH St
Suite 1D
Terre Haute, IN 47802-5710

Phone

(812) 234-0787

Fax

(812) 232-3253

NPI assigned

Oct 3, 2006

Organization subpart

No

Name

Kenneth Washington

Title

Vice President

Phone

(703) 650-2907

Organizations this organization is a member of, according to the National Provider Directory.

• Terre Haute Regional Hospital, L.P.

  • Rehabilitation Hospital Unit
  • Terre Haute, IN
  • NPI 1891741997

  Member Of

  NPD member

Locations

• Advanced Neurosurgery Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2008.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1689768301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 S 7TH ST",
            "address_2": "SUITE 1D",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025710",
            "telephone_number": "812-234-0787",
            "fax_number": "812-232-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S 7TH ST",
            "address_2": "SUITE 1D",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025710",
            "telephone_number": "812-234-0787",
            "fax_number": "812-232-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "IN",
            "license": "01026616A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200844940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neurosurgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Ann Adair-Smith
• Heather Adams, LAT, ATC
• Joliene Adams
• Lynne Anne Adams, N.P.
• Nnamdi Adindu, RBT
• Advanced Orthopedics, LLC
• Advanced Orthopro, Inc.
• Advanced Plastic Surgery of Terre Haute, LLC
• Advanced Radiation Oncology Care, LLC
• Advanced Wound & Limb Care Center Inc.

• All providers in Terre Haute, IN
• Neurological Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.