NPIMap

Organization Active NPI

Midwest Neurology Associates, S.C.

  • Specialist
  • Decatur, IL
National Provider Identifier
1942333067
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MIDWEST NEUROLOGY ASSOCIATES, S.C.
Practice address
302 W Hay St
Suite Ll110
Decatur, IL 62526-4167
Phone
(217) 872-7000
Fax
(217) 872-0417
NPI assigned
Mar 14, 2007
Last updated
Oct 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
Dr. Laura J Schlagel, M.D.NPI 1306803226
Title
President
Phone
(217) 872-7000

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
Specialist 174400000X Primary

Addresses

Primary practice location

302 W Hay St
Suite Ll110
Decatur, IL 62526-4167

Mailing address

302 W Hay St
Suite Ll110
Decatur, IL 62526-4167
Phone (217) 872-7000

Other identifiers 2

IdentifierTypeStateIssuer
05820717OtherILBLUE CROSS BLUE SHIELD
CN7769OtherILMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1942333067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W HAY ST",
            "address_2": "SUITE LL110",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264167",
            "telephone_number": "217-872-7000",
            "fax_number": "217-872-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W HAY ST",
            "address_2": "SUITE LL110",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264167",
            "telephone_number": "217-872-7000",
            "fax_number": "217-872-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEUROLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "SCHLAGEL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-872-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05820717",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN7769",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.