Neurosurgery Consultants SC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

NEUROSURGERY CONSULTANTS SC

Practice address

4350 7TH St
Unit E
Moline, IL 61265-6870

Phone

(309) 764-3993

Fax

(309) 764-4292

NPI assigned

Jul 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Duane Udehn, M.D.

Title

President

Phone

(309) 764-3993

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1992902969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 7TH ST",
            "address_2": "UNIT E",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656870",
            "telephone_number": "309-764-3993",
            "fax_number": "309-764-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 7TH ST",
            "address_2": "UNIT E",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656870",
            "telephone_number": "309-764-3993",
            "fax_number": "309-764-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROSURGERY CONSULTANTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "UDEHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-764-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08132080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Curtis Nelson, D.C.
• Robyn Nelson, RD, LDN, CDE
• Neobize LLC
• Haile Neptune, MD
• Neurology Group P.C.
• Gloria Esther Nevarez, M.A., CF-SLP
• New Perspectives
• Gregory M New, OD
• Kailyn Parker Newell, MHP
• Jacqueline Nicole Newhouse, D.C.

• Neurological Surgery Physician in Moline, IL
• Providers in Moline, IL by specialty
• Neurological Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.