Organization Active NPI

Consultants in Epilepsy and Neurology, PLLC

  • Neurology Physician
  • Boise, ID
National Provider Identifier
1902155773
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M9221 Issued in ID
Legal business name
CONSULTANTS IN EPILEPSY AND NEUROLOGY, PLLC
Practice address
1499 W. Hays St.
Boise, ID 83702-1717
Phone
(208) 275-8585
Fax
(208) 275-8586
NPI assigned
Sep 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Authorized official

Name
Dr. Robert T. Wechsler, M.D, PH.D.NPI 1962498568
Title
Owner
Phone
(208) 275-8585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X M9221 ID Primary

Addresses

Primary practice location

1499 W. Hays St.
Boise, ID 83702-1717

Mailing address

1499 W. Hays St.
Boise, ID 83702-1717
Phone (208) 275-8585

Other identifiers 1

IdentifierTypeStateIssuer
807254700MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170410001148 ID Part B Supplier - Clinic/Group Practice 4486930252 Receives reassigned benefits from 1 practitioner
Practice locations: Boise, ID

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D1075634Consultants in Epilepsy & Neurology PLLC1499 W Hays St, Boise, ID 83702Certificate of waiverOct 23, 2027

National Provider Directory

National Provider Directory

Locations

1499 W Hays St
Boise, ID 83702
Phone (208) 275-8585

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4873/brand/2/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1902155773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 W. HAYS ST.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021717",
            "telephone_number": "208-275-8585",
            "fax_number": "208-275-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 W. HAYS ST.",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837021717",
            "telephone_number": "208-275-8585",
            "fax_number": "208-275-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSULTANTS IN EPILEPSY AND NEUROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "WECHSLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-275-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D, PH.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M9221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807254700",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.