Net Neurodiagnostic Clinic,PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

J7476 Issued in TX

Legal business name

NET NEURODIAGNOSTIC CLINIC,PA

Practice address

2655 NE Loop 286
Paris, TX 75460-3444

Phone

(903) 784-1593

Fax

(903) 784-6807

NPI assigned

Mar 7, 2007

Last updated

Jan 9, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly L Freelen

Title

Office Coordinator

Phone

(903) 784-1593

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peter Julius Edenhoffer, M.D.

  • Specialist
  • Paris, TX
  • NPI 1790898963
  Medicare reassignment NPD

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1942330733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603444",
            "telephone_number": "903-784-1593",
            "fax_number": "903-784-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754603444",
            "telephone_number": "903-784-1593",
            "fax_number": "903-784-6807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NET NEURODIAGNOSTIC CLINIC,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "FREELEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "903-784-1593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "J7476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00924N",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081374301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nec Paris Emergency Center, LP
• Jarrett K Nelms, PT
• Jeremy Mark Nelms, PT
• Stephanie Nelms
• Caroline Nesrsta
• Net Neurodiagnostic Services,Inc
• Neurology Care Associates,PA
• Never Stop Transporting LLC
• New Focus Center, LLC
• Sara B Newman, SLP

• Medical Specialty Clinic/Center in Paris, TX
• Providers in Paris, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.