Organization Active NPI

Neuro Diagnostics, Inc.

  • Diagnostic Radiology Physician
  • Biloxi, MS
National Provider Identifier
1982603262
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NEURO DIAGNOSTICS, INC.
Practice address
240 Eisenhower Dr
Ste C-5
Biloxi, MS 39531-3654
Phone
(228) 385-1725
Fax
(228) 385-7366
NPI assigned
Jul 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John M Felsher, CEO
Title
Ceo
Phone
(228) 385-1725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X MO Primary

Addresses

Primary practice location

240 Eisenhower Dr
Ste C-5
Biloxi, MS 39531-3654

Mailing address

240 Eisenhower Dr
Ste C-5
Biloxi, MS 39531-3654
Phone (228) 385-1725

Other identifiers 1

IdentifierTypeStateIssuer
5875079468OtherMSBCBS

National Provider Directory

National Provider Directory

Locations

240 Eisenhower Dr
Ste C5
Biloxi, MS 39531
Phone (228) 385-1725

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982603262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 EISENHOWER DR",
            "address_2": "STE C-5",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313654",
            "telephone_number": "228-385-1725",
            "fax_number": "228-385-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 EISENHOWER DR",
            "address_2": "STE C-5",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395313654",
            "telephone_number": "228-385-1725",
            "fax_number": "228-385-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FELSHER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-385-1725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5875079468",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.