Southeast Iowa Neurological Associates, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

SOUTHEAST IOWA NEUROLOGICAL ASSOCIATES, P.C.

Practice address

2000 S Main St
Fairfield, IA 52556-9572

Phone

(641) 469-4410

Fax

(641) 470-1602

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Michael Leon Pogel, M.D.

Title

President

Phone

(641) 469-4410

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1831208636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-469-4410",
            "fax_number": "641-470-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 S MAIN ST",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525569572",
            "telephone_number": "641-469-4410",
            "fax_number": "641-470-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA NEUROLOGICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "POGEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-469-4410",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119412",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Shay, LMT CNC
• William Sheppard II, PHD
• Joel H Silver, MD
• Brian K. Simmons, LISW
• Malory Smithburg
• Southeastern Renal Dialysis L.C.
• Southern Iowa Independent Living, Inc.
• Stephen C. Vantasell, D.D.S.,P.C.
• Summit Pharmacy of Iowa, Inc
• Sunny Brook Living Care Center, L.C.

• Neurology Physician in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Neurology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.