Neurology Clinic of Maryland, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

D0072106 Issued in MD

Legal business name

NEUROLOGY CLINIC OF MARYLAND, INC.

Practice address

10770 Hickory Ridge Rd
Columbia, MD 21044-3646

Phone

(410) 988-4013

NPI assigned

Aug 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sheetal Harish Wagle, MDNPI 1508075276

Title

Sole Owner

Phone

(410) 988-4013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheetal Harish Wagle, MD, MBBS

  • Neurology Physician
  • Columbia, MD
  • NPI 1508075276
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1700166360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443646",
            "telephone_number": "410-988-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 HICKORY RIDGE RD",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443646",
            "telephone_number": "410-988-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CLINIC OF MARYLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "WAGLE",
        "authorized_official_first_name": "SHEETAL",
        "authorized_official_middle_name": "HARISH",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "410-988-4013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "D0072106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nettle and Moon Wellness LLC
• Reginald Nettles, PHD
• Stephanie Neukum, M.D.
• Dara L Neuman-Sunshine, MD
• Neurobehavioral Associates
• Neurology Physicians LLC
• Neurophys Solutions
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• New Avenues Counseling LLC
• New Beginning Pediatric Rehab, Inc.

• Clinic/Center in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.