NPIMap

Organization Active NPI

Neurologic, LLC

  • Contractor
  • Parker, CO
National Provider Identifier
1699100933
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
NEUROLOGIC, LLC
Practice address
10940 S Parker Rd Ste 503
Parker, CO 80134-7440
Phone
(877) 446-4945
Fax
(866) 897-0799
NPI assigned
Sep 5, 2013
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEUROLOGIC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Glenn OremusNPI 1093923781
Title
Coo
Phone
(303) 888-4384

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU Primary

Addresses

Primary practice location

10940 S Parker Rd Ste 503
Parker, CO 80134-7440

Mailing address

10940 S Parker Rd Ste 503
Parker, CO 80134-7440
Phone (877) 446-4945

Other names 1

  • NeuroLogic IOM Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229002502 CO Part B Supplier - Clinic/Group Practice 3870895360 Receives reassigned benefits from 6 practitioners
Practice locations: Boulder, CO; Timnath, CO

National Provider Directory

National Provider Directory
Part of
Neurologic LLC

Locations

8547 E Arapahoe Rd
Ste 555
Greenwood Village, CO 80112
Phone (303) 984-1856

8547 E Arapahoe Rd
Ste J555
Greenwood Village, CO 80112

Practitioners & affiliated clinicians

Practitioners 10

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": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1699100933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10940 S PARKER RD STE 503",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347440",
            "telephone_number": "877-446-4945",
            "fax_number": "866-897-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10940 S PARKER RD STE 503",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347440",
            "telephone_number": "877-446-4945",
            "fax_number": "866-897-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROLOGIC, LLC",
        "enumeration_date": "2013-09-05",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "OREMUS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-888-4384"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroLogic IOM",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NeuroLogic IOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.