Legacy Neurological Monitoring LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LEGACY NEUROLOGICAL MONITORING LLC

Practice address

2419 Coit Rd
Suite 133
Plano, TX 75075-3731

Phone

(972) 403-1702

Fax

(972) 403-1709

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Mr. William Allen Sullivan Jr.

Title

Owner

Phone

(972) 403-1938

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Todd Robert Mann, R.EEGT, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Plano, TX
  • NPI 1275773947
  NPD (past)

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297900800000",
    "number": "1740428903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835390",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750835390",
            "telephone_number": "972-403-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 COIT RD",
            "address_2": "SUITE 133",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753731",
            "telephone_number": "972-403-1702",
            "fax_number": "972-403-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY NEUROLOGICAL MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2011-02-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-403-1938",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHAEL SEALS NPI",
            "identifier": "1689677056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "OA3498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Plano, TX
• Providers in Plano, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.