Peak Neuro Monitoring LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

PEAK NEURO MONITORING LLC

Doing business as

OverWatch Neuro

Practice address

4164 Austin Bluffs Pkwy Unit 603
Colorado Springs, CO 80918-2928

Phone

(303) 704-4621

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Doreen Shinn

Title

VP

Phone

(303) 704-4621

Specialties & licenses 3

Addresses

Other names 2

• OverWatch Neuro Doing business as
• Peak Neuromonitoring LLC Former legal business name

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1871000588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 880257 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "303-704-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4164 AUSTIN BLUFFS PKWY UNIT 603",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809182928",
            "telephone_number": "303-704-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK NEURO MONITORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "303-704-4621"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OverWatch Neuro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peak Neuromonitoring LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Peak Medical Colorado No. 2, Inc. (Cheyenne Mountain Center)
• Peak Medical Colorado No. 2, Inc. (Pikes Peak Center)
• Peak Medical Colorado No. 2, LLC (Cheyenne Mountain Care and Rehabilitation Center)
• Peak Medical Colorado No. 2, LLC (Pikes Peak Center)
• Peak Medical Services
• Peak Neurology Corp PC
• Peak Neurology Corp PC
• Peak Nutrition LLC
• Peak Pediatric Therapy, LLC
• Peak Pelvic Health

• Physiological Laboratory in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physiological Laboratory in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.