NPIMap

Organization Active NPI

Neurex PLLC

  • Surgical Physician Assistant
  • Rockford, IL
National Provider Identifier
1720286206
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
SA00087 Issued in TX
Legal business name
NEUREX PLLC
Practice address
1491 Stony Creek Way
Apt 2
Rockford, IL 61108-1210
Phone
(832) 425-5634
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Rolando Perez, IMG LSANPI 1861593592
Title
Surgial Assistant
Phone
(832) 425-5634

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
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X SA00087 TX Primary

Addresses

Primary practice location

1491 Stony Creek Way
Apt 2
Rockford, IL 61108-1210

Mailing address

PO Box 7546
Rockford, IL 61126-7546
Phone (832) 425-5634

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1720286206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7546",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611267546",
            "telephone_number": "832-425-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 STONY CREEK WAY",
            "address_2": "APT 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611081210",
            "telephone_number": "832-425-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUREX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "SURGIAL ASSISTANT",
        "authorized_official_telephone_number": "832-425-5634",
        "authorized_official_credential": "IMG LSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "SA00087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.