Madison Institute of Neurological Disorders, SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

MADISON INSTITUTE OF NEUROLOGICAL DISORDERS, SC

Practice address

2711 Allen Blvd
Middleton, WI 53562-2287

Phone

(608) 821-6515

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Cheryl Ray, MD

Title

President

Phone

(608) 821-6515

Specialties & licenses 1

Addresses

Practitioners 4

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

• Jeffrey B. Block, MD

  • Diagnostic Radiology Physician
  • Madison, WI
  • NPI 1356321236
  NPD (past)
• Richard J Grundman, CRNA

  • Certified Registered Nurse Anesthetist
  • Madison, WI
  • NPI 1275599235
  NPD (past)
• Edgardo C Jiongco, MD

  • Diagnostic Radiology Physician
  • Fort Atkinson, WI
  • NPI 1720057771
  NPD (past)
• James F. Smick, MD

  • Diagnostic Radiology Physician
  • Neenah, WI
  • NPI 1871570630
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720205826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 ALLEN BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622287",
            "telephone_number": "608-821-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 ALLEN BLVD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622287",
            "telephone_number": "608-821-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON INSTITUTE OF NEUROLOGICAL DISORDERS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "608-821-6515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landon P Lynch-Youngman, PTA
• Todd Andrew Lynch, O.D.
• Donal Grant Maccoon, PH.D.
• Christopher Mackay, DPT
• Madison Birth Center
• Madison Integrative Medicine Alliance, Inc
• Madison Psychiatric Associates, LTD.
• Madison Vein and Laser Institiute, S.C.
• Courtney Maher, OTR/L
• David J Maiers

• All providers in Middleton, WI
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.