Valley Neurology Clinic SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

23069 Issued in WI

Legal business name

VALLEY NEUROLOGY CLINIC SC

Practice address

555 S Washburn St
Oshkosh, WI 54904

Phone

(920) 236-3201

Fax

(920) 236-3203

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Y Haffar, MDNPI 1366529901

Title

President

Phone

(920) 236-3201

Specialties & licenses 1

Addresses

Other identifiers 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.

• Ahmad Y Haffar, MD

  • Neurology Physician
  • Oshkosh, WI
  • NPI 1366529901
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952442394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S WASHBURN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "920-236-3201",
            "fax_number": "920-236-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S WASHBURN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54904",
            "telephone_number": "920-236-3201",
            "fax_number": "920-236-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEUROLOGY CLINIC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAFFAR",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-236-3201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "23069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21360900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of Wisconsin System Non Payroll (University of Wisconsin Oshkosh Sports Medicine)
• Urgent Care Physicians, LTD. (UC Urgent Care Physicians)
• Kari Anne Uselman, PH.D.
• Sara Utecht, RN
• Valley Neuro-Microneurosurgery SC
• Valley Serenity Homes LLC
• Kevin Van Camp, PHARMD
• Rachael Van Dyke
• Erika Van Laarhoven
• William Van Sistine

• Neurology Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Neurology Physician in Wisconsin

• 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.