NPIMap

Organization Active NPI

Neurology Center of Excellence

  • Medical Specialty Clinic/Center
  • Martinsburg, WV
National Provider Identifier
1750710141
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
24966 Issued in WV
Legal business name
NEUROLOGY CENTER OF EXCELLENCE
Practice address
1004 Tavern Rd
Martinsburg, WV 25401-2864
Phone
(301) 675-5301
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Eduardo Daniel Zamora, M.D.
Title
Medical Doctor/Manager
Phone
(301) 675-5301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 24966 WV Primary

Addresses

Primary practice location

1004 Tavern Rd
Martinsburg, WV 25401-2864

Mailing address

1004 Tavern Rd
Martinsburg, WV 25401-2864
Phone (301) 675-5301

National Provider Directory

National Provider Directory

Practitioners 2

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": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1750710141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "301-675-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 TAVERN RD",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012864",
            "telephone_number": "301-675-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY CENTER OF EXCELLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/MANAGER",
        "authorized_official_telephone_number": "301-675-5301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WV",
            "license": "24966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.