Kokomo Neurology Clinic, Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

1034212 Issued in IN

Legal business name

KOKOMO NEUROLOGY CLINIC, INC.

Practice address

3611 S Reed Rd
Suite 101
Kokomo, IN 46902-3828

Phone

(765) 453-0891

Fax

(765) 453-1407

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jitendra N. Sharma, M.D.

Title

President

Phone

(765) 453-0891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790806529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 S REED RD",
            "address_2": "SUITE 101",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-453-0891",
            "fax_number": "765-453-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S REED RD",
            "address_2": "SUITE 101",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023828",
            "telephone_number": "765-453-0891",
            "fax_number": "765-453-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO NEUROLOGY CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "JITENDRA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-453-0891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "1034212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokomo Endodontics Inc
• Kokomo Family Dental LLC
• Kokomo Fire Department
• Kokomo Implant and Oral Surgery, LLC
• Kokomo Neurological Group Inc
• Kokomo Optical Inc
• Kokomo Oral and Maxillofacial Surgery P.C.
• Kokomo Pathologist Associates
• Kokomo Pediatric Dentistry, LLC
• Kokomo Place Assisted Living LLC

• Neurology Physician in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Neurology Physician in Indiana

• 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.