Kokomo Neurological Group Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

50001664A Issued in IN

Legal business name

KOKOMO NEUROLOGICAL GROUP INC

Practice address

208 Corwin LN
Kokomo, IN 46902-6612

Phone

(765) 455-1600

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Anthony Smith, M.D.

Title

President

Phone

(765) 455-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952466088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CORWIN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026612",
            "telephone_number": "765-455-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CORWIN LN",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026612",
            "telephone_number": "765-455-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKOMO NEUROLOGICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-455-1600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "50001664A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokomo Chiropractic, PC
• Kokomo Endodontics Inc
• Kokomo Family Dental LLC
• Kokomo Fire Department
• Kokomo Implant and Oral Surgery, LLC
• Kokomo Neurology Clinic, Inc.
• Kokomo Optical Inc
• Kokomo Oral and Maxillofacial Surgery P.C.
• Kokomo Pathologist Associates
• Kokomo Pediatric Dentistry, LLC

• Neurology Physician in Kokomo, IN
• Providers in Kokomo, 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.