Neurology and Pain Treatment, LTD.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

19841 Issued in WI

Legal business name

NEUROLOGY AND PAIN TREATMENT, LTD.

Practice address

2600 N Mayfair Rd Ste 1120
Wauwatosa, WI 53226-1308

Phone

(414) 453-7780

NPI assigned

Jul 17, 2007

Organization subpart

No

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

Authorized official

Name

Julie Sura

Title

Office Manager

Phone

(414) 453-7780

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 4

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

• Bridget E Harcus-Wickersham, DNP, APNP

  • Nurse Practitioner
  • Beloit, WI
  • NPI 1437258589
  Medicare reassignment Care Compare group NPD
• Neal Howard Pollack, D.O.

  • Neurology Physician
  • Wauwatosa, WI
  • NPI 1497833719
  Medicare reassignment Care Compare group NPD
• Avi Elizabeth Domnitz-Gebet, DO

  • Neurology with Special Qualifications in Child Neurology Physician
  • Saint Cloud, FL
  • NPI 1619125622

  WI

  Medicare reassignment Care Compare group NPD
• Charles Reitz

  • Physical Therapist
  • Hales Corners, WI
  • NPI 1215137989
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1982803102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 1120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261308",
            "telephone_number": "414-453-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 1120",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532261308",
            "telephone_number": "414-453-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND PAIN TREATMENT, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "SURA",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "414-453-7780"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "19841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30033300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kristina Nelson, RN, IBCLC
• Mary Ziemer Nervig, LCSW
• Mary E. Ness, M.D.
• Neu Family Dentistry, S.C.
• Suzanne M Neumann, AUD.
• Danielle Elizabeth Newman, LPC
• Quatisha Las Newton, LPC-IT
• Nexus Momentum Psychotherapy LLC
• Phuong Thi Nguyen, R.N.
• Madelyn Nicholson, BCBA

• Neurology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.