Organization Active NPI

Neurological and Electrodiagnostic Institute of St. Louis Inc.

  • Neurology Physician
  • Chesterfield, MO
National Provider Identifier
1972633733
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGICAL AND ELECTRODIAGNOSTIC INSTITUTE OF ST. LOUIS INC.
Practice address
14825 N Outer 40
Suite 330
Chesterfield, MO 63017-2152
Phone
(636) 537-0525
Fax
(636) 537-0575
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Mrs. Theresa Puljic
Title
Practice Administrator
Phone
(636) 537-0525

Specialties & licenses 1

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

Addresses

Primary practice location

14825 N Outer 40
Suite 330
Chesterfield, MO 63017-2152

Mailing address

14825 N Outer 40
Suite 330
Chesterfield, MO 63017-2152
Phone (636) 537-0525

National Provider Directory

National Provider Directory

Locations

14825 North Outer 40 Rd
Ste 330
Chesterfield, MO 63017
Phone (636) 537-0525

3009 N Ballas Rd
Ste 110B
Saint Louis, MO 63131
Phone (314) 993-9636

3009 N Ballas Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 993-9636

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1972633733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "SUITE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-537-0525",
            "fax_number": "636-537-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14825 N OUTER 40",
            "address_2": "SUITE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172152",
            "telephone_number": "636-537-0525",
            "fax_number": "636-537-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL AND ELECTRODIAGNOSTIC INSTITUTE OF ST. LOUIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "PULJIC",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "636-537-0525",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.