NPIMap

Organization Active NPI

Compass Neurology

  • Neurology Physician
  • Tyler, TX
National Provider Identifier
1962997148
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
COMPASS NEUROLOGY
Practice address
1301 Doctors Dr
Tyler, TX 75701-2239
Phone
(903) 405-2880
Fax
(903) 405-1881
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2018

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

Authorized official

Name
Allison Hennigan, MD
Title
Provider
Phone
(719) 505-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1301 Doctors Dr
Tyler, TX 75701-2239

Mailing address

1403 Brandywine Dr
Tyler, TX 75703-5705
Phone (719) 505-3822

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1962997148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 BRANDYWINE DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035705",
            "telephone_number": "719-505-3822",
            "fax_number": "903-405-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 DOCTORS DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012239",
            "telephone_number": "903-405-2880",
            "fax_number": "903-405-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "HENNIGAN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "719-505-3822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.