| Neurology Diagnostics Inc | |
|
240 W Elmwood Dr Suite 1000 Dayton OH 45459-4296 | |
| (937) 224-8200 | |
| (937) 224-1770 |
| Full Name | Neurology Diagnostics Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 240 W Elmwood Dr, Dayton, Ohio |
| Authorized Official Name and Position | Joel Vandersluis (OWNER) |
| Authorized Official Contact | 9372248200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Diagnostics Inc 240 W Elmwood Dr Suite 1000 Dayton OH 45459-4296 Ph: (937) 224-8200 | Neurology Diagnostics Inc 240 W Elmwood Dr Suite 1000 Dayton OH 45459-4296 Ph: (937) 224-8200 |
| NPI Number | 1033162318 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 02/25/2015 |
| Medicare PECOS PAC ID | 0345210910 |
|---|---|
| Medicare Enrollment ID | O20040729001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033162318 | NPI | - | NPPES |
| 2299589 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Evelyn S Brown |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932104734 PECOS PAC ID: 1951378884 Enrollment ID: I20040910001242 |
| Provider Name | Joel Vandersluis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114922390 PECOS PAC ID: 8426028093 Enrollment ID: I20100819000584 |
| Provider Name | Kimberly K Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003258773 PECOS PAC ID: 7416190145 Enrollment ID: I20130828000949 |
| Provider Name | Amy L. Goff-yates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306407101 PECOS PAC ID: 3971935735 Enrollment ID: I20191115001491 |
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