Organization Active NPI

Advanced Neurosurgery LLC

  • Neurological Surgery Physician
  • Terre Haute, IN
National Provider Identifier
1689768301
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
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
Last updated
Sep 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Kenneth Washington
Title
Vice President
Phone
(703) 650-2907

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X 01026616A IN Primary

Addresses

Primary practice location

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

Mailing address

3903 S 7TH St
Suite 1D
Terre Haute, IN 47802-5710
Phone (812) 234-0787

Other names 1

  • Advanced Neurosurgery Other name

National Provider Directory

National Provider Directory

Member of 1

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

Locations

3903 S 7th St
Ste 1D
Terre Haute, IN 47802
Phone (707) 290-5198

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Neurosurgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Terre Haute, IN

Sources for this page

  • 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.