| Surgical Neuromonitoring,pllc | |
|
10900 Ne 4th St Ste 2300 Bellevue WA 98004-5882 | |
| (412) 406-7692 | |
| (412) 968-9113 |
| Full Name | Surgical Neuromonitoring,pllc |
|---|---|
| Speciality | Electrodiagnostic Medicine |
| Location | 10900 Ne 4th St Ste 2300, Bellevue, Washington |
| Authorized Official Name and Position | Gary Wayne Schurman (PRESIDENT) |
| Authorized Official Contact | 4124067692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgical Neuromonitoring,pllc Po Box 5542 Pittsburgh PA 15206-0542 Ph: (972) 412-5299 | Surgical Neuromonitoring,pllc 10900 Ne 4th St Ste 2300 Bellevue WA 98004-5882 Ph: (412) 406-7692 |
| NPI Number | 1124338025 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 10/07/2022 |
| Certification Date | 09/27/2022 |
| Medicare PECOS PAC ID | 9537341003 |
|---|---|
| Medicare Enrollment ID | O20110307000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124338025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 204R00000X | Electrodiagnostic Medicine | (* (Not Available)) | Primary |
| Provider Name | David K Epstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649256223 PECOS PAC ID: 5597926857 Enrollment ID: I20120412000485 |
| Provider Name | Salim Ibrahim Dib |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609098896 PECOS PAC ID: 7810052537 Enrollment ID: I20151203003244 |
| Provider Name | Alberto Ramos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215149265 PECOS PAC ID: 5799859823 Enrollment ID: I20160118000531 |
| Provider Name | Simon Sy Tan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811001365 PECOS PAC ID: 2567363187 Enrollment ID: I20221018001122 |
| Provider Name | Gregory Douglas Phillips |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588020507 PECOS PAC ID: 3072855444 Enrollment ID: I20221018002849 |
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