Valley Neuro-Microneurosurgery SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

27755 Issued in WI

Legal business name

VALLEY NEURO-MICRONEUROSURGERY SC

Practice address

2700 W 9TH Ave
Suite 120
Oshkosh, WI 54904-7864

Phone

(920) 223-0545

Fax

(920) 223-0551

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kamaljit Singh Paul, MD

Title

Owner President

Phone

(920) 223-0545

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790840015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 120",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047864",
            "telephone_number": "920-223-0545",
            "fax_number": "920-223-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 9TH AVE",
            "address_2": "SUITE 120",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047864",
            "telephone_number": "920-223-0545",
            "fax_number": "920-223-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEURO-MICRONEUROSURGERY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "KAMALJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "920-223-0545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "WI",
            "license": "27755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31451400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin System Non Payroll
• University of Wisconsin System Non Payroll
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• Sara Utecht, RN
• Valley Neurology Clinic SC
• Valley Serenity Homes LLC
• Kevin Van Camp, PHARMD
• Rachael Van Dyke
• Erika Van Laarhoven

• Neurological Surgery Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Neurological Surgery Physician in Wisconsin

• 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.