Diablo Neurology Inc.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

00039405 Issued in WA

Legal business name

DIABLO NEUROLOGY INC.

Practice address

585 W Lookout Ridge Dr
Washougal, WA 98671-7595

Phone

(925) 299-9022

Fax

(925) 299-9024

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Nelson, M.D.NPI 1528026051

Title

President

Phone

(925) 299-9022

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Michael John Nelson, M.D.

  • Neurology Physician
  • Vancouver, WA
  • NPI 1528026051

  Neurology

  NPD (past) Authorized official
• Karyn Carpenter Shomler, RN, NP

  • Adult Health Nurse Practitioner
  • Portland, OR
  • NPI 1447364054
  NPD (past)

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1982910295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 W LOOKOUT RIDGE DR",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717595",
            "telephone_number": "925-299-9022",
            "fax_number": "925-299-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 W LOOKOUT RIDGE DR",
            "city": "WASHOUGAL",
            "state": "WA",
            "postal_code": "986717595",
            "telephone_number": "925-299-9022",
            "fax_number": "925-299-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABLO NEUROLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-299-9022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "00039405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Stinchfield, P.C.
• Howard W Davis, DMD
• Elsa Dearth
• Jennifer Delliquadri
• Evan Dezeeuw, PHARMD
• Michael Dornbusch, D.C.
• Duley Administrative Services, LLC
• Amy Dunne
• Alison Marie Eaton, MA60231781
• Jeffrey Edmondson, PHARMD

• All providers in Washougal, WA
• Neurology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.