Neurology Associates of St Joseph Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROLOGY ASSOCIATES OF ST JOSEPH INC

Practice address

105 Far West Drive
Suite 201
St Joseph, MO 64506

Phone

(816) 279-8848

Fax

(816) 279-0218

NPI assigned

Dec 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sreenadha Rao Davuluri, MDNPI 1487713798

Title

Owner

Phone

(816) 279-8848

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sreenadha Rao Davuluri, MD

  • Neurology Physician
  • Saint Joseph, MO
  • NPI 1487713798
  Authorized official Same address or phone

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740349067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DRIVE",
            "address_2": "SUITE 201",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-279-8848",
            "fax_number": "816-279-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FAR WEST DRIVE",
            "address_2": "SUITE 201",
            "city": "ST JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-279-8848",
            "fax_number": "816-279-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF ST JOSEPH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVULURI",
        "authorized_official_first_name": "SREENADHA",
        "authorized_official_middle_name": "RAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-279-8848",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael E. Nellestein, M.D.
• Arthur Scott Nelson, D.D.S.
• Pamela Shattuck Nelson, AU.D.
• Dave Neumann, BC-HIS
• Bree Newbold
• Chau Ngoc Nguyen, M.D.
• David Nguyen, MD
• Nam Hoang Nguyen, DO
• Thanh-Huong Thi Nguyen, MD

• Neurology Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Neurology Physician in Missouri

• 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.