WEST SIDE NEUROLOGY SC
NPI 1265685093
Psychiatry & Neurology - Neurology in West Allis, WI

NPI Status: Active since October 24, 2008

Contact Information

2448 S 102ND ST
STE 125
WEST ALLIS, WI
ZIP 53227
Phone: (414) 328-3800
Fax: (414) 328-3818

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  • Organization
  • Psychiatry & Neurology
  • Neurology

About WEST SIDE NEUROLOGY SC

This page provides the complete NPI Profile along with additional information for West Side Neurology Sc, a provider established in West Allis, Wisconsin operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1265685093 assigned on October 2008. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Jeff Dornburg (Billing Admin)

NPI
1265685093
Provider Name
WEST SIDE NEUROLOGY SC
Entity Type
Organization
Location Address
2448 S 102ND ST STE 125 WEST ALLIS, WI 53227
Location Phone
(414) 328-3800
Location Fax
(414) 328-3818
Mailing Address
2448 S 102ND ST STE 125 WEST ALLIS, WI 53227
Mailing Phone
(414) 328-3800
Mailing Fax
(414) 328-3818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2008
Last Update Date
10-24-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFF DORNBURG

Authorized Official Title
BILLING ADMIN
Authorized Official Phone
(414) 328-3800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
000001049MEDICARE PIN (08)WI 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265685093
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2212512810018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 2 + 8 + 1 + 0 + 0 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1265685093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376645366 CAROL WILTSE POTTS MD
Individual
Internal Medicine2448 S 102ND ST SUITE 270
WEST ALLIS, WI 53227
(414) 543-9600
1154491546MRS. JEAN JOANN PEKOZ-HUEBNER P.T.
Individual
Physical Therapist2448 S 102ND ST
MILWAUKEE, WI 53227
(414) 329-2500
1407982879DR. DEBORAH L LEMKE MD
Individual
Internal Medicine2448 S 102ND ST STE 270
WEST ALLIS, WI 53227
(414) 543-9600
1528266038MRS. CARYN KAY STANFORD P.T.
Individual
Physical Therapist2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-2500
1982849543DR. CAROL GAINES M.D.
Individual
Community Health Worker2448 S 102ND ST SUITE 270
WEST ALLIS, WI 53227
(414) 543-9600
1891092524MRS. REANNA M CHAPLIN COTA
Individual
Occupational Therapy Assistant2448 S 102ND ST
MILWAUKEE, WI 53227
(800) 877-7018
1639476146MRS. NANCY K BRIAMIS COTA
Individual
Occupational Therapy Assistant2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(800) 877-7018
1972880714MS. JUDITH ANN YESKO PT,MS,GCS
Individual
Physical Therapist2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-2500
1225305725 JACQUELINE GROSSOEHME
Individual
Physical Therapist2448 S 102ND ST
MILWAUKEE, WI 53227
(414) 329-2500
1215204680MRS. KAREN W HIRST LPT
Individual
Physical Therapist (Geriatrics)2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(180) 077-6701
1477821718 PAULA DUDYCHA JOHNSON C.O.T.A
Individual
Occupational Therapy Assistant2448 S 102ND ST
MILWAUKEE, WI 53227
(414) 329-2500
1487922613MRS. RENEE ROCHELLE WUENSCH COTA
Individual
Occupational Therapy Assistant2448 S 102ND ST SUITE 250
MILWAUKEE, WI 53227
(800) 877-7018
1356619183MRS. MARLENE K KRUEGER PTA
Individual
Physical Therapy Assistant2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-3500
1174891733MRS. CAROL ANN SKURULSKY C.O.T.A.
Individual
Occupational Therapy Assistant2448 S 102ND ST
MILWAUKEE, WI 53227
(414) 329-2500
1073881504 LORI BOBOLZ
Individual
Occupational Therapy Assistant2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-2430
1295003754 KARLA JEAN DRAVES C.O.T.A.
Individual
Occupational Therapy Assistant2448 S 102ND ST SIUTE NUMBER 340
MILWAUKEE, WI 53227
(414) 329-2431
1508135690 JENNIFER ESSAK MSPT
Individual
Physical Therapist2448 S 102ND ST
MILWAUKEE, WI 53227
(414) 329-2500
1396014247 MARTHA JOHNSON
Individual
Physical Therapist2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-2500
1508135013MRS. ANGELA MARIE ROTH
Individual
Occupational Therapist2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-2500
1265702203 SUSAN HINCHCLIFFE
Individual
Physical Therapist2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227
(414) 329-2500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265685093, enumerated in the NPI registry as an "organization" on October 24, 2008

The provider is located at 2448 S 102nd St Ste 125 West Allis, Wi 53227 and the phone number is (414) 328-3800

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 24, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.