Organization Active NPI

Neurosurgical Network, Inc.

  • Neurological Surgery Physician
  • Perrysburg, OH
National Provider Identifier
1962442442
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROSURGICAL NETWORK, INC.
Practice address
702 Commerce Dr
Suite 100
Perrysburg, OH 43551-5239
Phone
(419) 794-3475
NPI assigned
Jun 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Edmund Lawrence, M.D.
Title
President
Phone
(419) 794-3475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

702 Commerce Dr
Suite 100
Perrysburg, OH 43551-5239

Mailing address

702 Commerce Dr
Suite 100
Perrysburg, OH 43551-5239
Phone (419) 794-3475

Other identifiers 2

IdentifierTypeStateIssuer
9933954OtherOHPTAN
1962442442OtherOHNPI

National Provider Directory

National Provider Directory

Locations

702 Commerce Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 794-3475

28442 E River Rd
Ste 203
Perrysburg, OH 43551
Phone (419) 874-0315

2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1962442442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515239",
            "telephone_number": "419-794-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 COMMERCE DR",
            "address_2": "SUITE 100",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515239",
            "telephone_number": "419-794-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGICAL NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-794-3475",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "9933954",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962442442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.