| Pacific Neuromonitoring Associates, Inc | |
|
10275 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3445 | |
| (888) 464-2466 | |
| Not Available |
| Full Name | Pacific Neuromonitoring Associates, Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10275 Little Patuxent Pkwy Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Karen Wescott (SR INS CONTRACTING SPECIALIST) |
| Authorized Official Contact | 8884642466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Neuromonitoring Associates, Inc 10275 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3445 Ph: (888) 464-2466 | Pacific Neuromonitoring Associates, Inc 10275 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3445 Ph: (888) 464-2466 |
| NPI Number | 1194925206 |
|---|---|
| Provider Enumeration Date | 07/18/2007 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 1658433594 |
|---|---|
| Medicare Enrollment ID | O20081230000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194925206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Evgeny I Tsimerinov |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295789972 PECOS PAC ID: 5395779037 Enrollment ID: I20050922000565 |
| Provider Name | Khanh L Nguyen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174677975 PECOS PAC ID: 0345332979 Enrollment ID: I20100608000162 |
| Provider Name | Chuong M Le |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568501005 PECOS PAC ID: 9537339726 Enrollment ID: I20110826000431 |
| Provider Name | Douglas Ryan Porter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205000239 PECOS PAC ID: 0345488565 Enrollment ID: I20130530000220 |
| Provider Name | Forough Ghavami Shirehjini |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1013143619 PECOS PAC ID: 4183949241 Enrollment ID: I20150211002365 |
| Provider Name | Lon Robert Steinberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942469564 PECOS PAC ID: 1355579681 Enrollment ID: I20160129001871 |
| Provider Name | Michelle Michelle Mora |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972814408 PECOS PAC ID: 7719288174 Enrollment ID: I20160902001719 |
| Provider Name | Ankit Nayyar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275859183 PECOS PAC ID: 9739495144 Enrollment ID: I20170109002628 |
| Provider Name | Brian Ahuja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740548866 PECOS PAC ID: 0042566465 Enrollment ID: I20180627001776 |
| Provider Name | John Arlen Parker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386088698 PECOS PAC ID: 0446566764 Enrollment ID: I20180702002843 |
| Provider Name | Reza Kanani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609134352 PECOS PAC ID: 7012143373 Enrollment ID: I20180810002882 |
| Provider Name | Jonathan Hans Chen |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700228681 PECOS PAC ID: 8123302460 Enrollment ID: I20180831001551 |
| Provider Name | Eric Kim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1194161091 PECOS PAC ID: 2264733617 Enrollment ID: I20181012002463 |
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