Neurological Surgery Consultants, LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

24495 Issued in WI

Legal business name

NEUROLOGICAL SURGERY CONSULTANTS, LTD

Practice address

13133 N Port Washington Rd
Suite 102
Mequon, WI 53097-2419

Phone

(414) 961-0089

Fax

(414) 961-1043

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jack Hudson Deckard, M.D.

Title

President

Phone

(414) 961-0089

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972688240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 E NEWPORT AVE",
            "address_2": "SUITE 140",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112906",
            "telephone_number": "414-961-0089",
            "fax_number": "414-961-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13133 N PORT WASHINGTON RD",
            "address_2": "SUITE 102",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530972419",
            "telephone_number": "414-961-0089",
            "fax_number": "414-961-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SURGERY CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DECKARD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "HUDSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-961-0089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "24495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30464900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon M. Nelson, P.A.
• Steve Nelson, PTA
• Sarah Marie Neman, PTA
• Debra Neu, ACNS-BC
• Joshua Robert Neujahr
• Karen Neusen, BS, OTR
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• New Perspective Mequon
• Newcastle Place Inc Pharmacy
• Newcastle Place LLC

• Specialist in Mequon, WI
• Providers in Mequon, WI by specialty
• Specialist 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.