Comprehensive Neurologic Services PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

COMPREHENSIVE NEUROLOGIC SERVICES PC

Practice address

5250 E US Highway 36
Suite 210
Avon, IN 46123-9199

Phone

(317) 718-1355

Fax

(317) 718-1358

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By 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

Mark A Muckway, MDNPI 1265521652

Title

Co-President

Phone

(317) 718-1355

Specialties & licenses 1

Addresses

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.

• Mark A Muckway, M.D.

  • Neurology Physician
  • Mishawaka, IN
  • NPI 1265521652
  NPD (past) Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942335849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 E US HIGHWAY 36",
            "address_2": "SUITE 210",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239199",
            "telephone_number": "317-718-1355",
            "fax_number": "317-718-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 E US HIGHWAY 36",
            "address_2": "SUITE 210",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461239199",
            "telephone_number": "317-718-1355",
            "fax_number": "317-718-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MUCKWAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "317-718-1355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Chiropractic LLC
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• Complete Pain Care LLC
• Comprehensive Dermatology PC (Comprehensive Dermatology)
• Comprehensive Pain and Spine Specialists LLC
• Comprehensive Pain and Spine Specialists LLC
• Steven G Conant, MD
• Connect Hearing
• Mary Elizabeth Connell, MD

• Neurology Physician in Avon, IN
• Providers in Avon, IN by specialty
• Neurology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.