Provider Demographics
NPI:1003914912
Name:NEUROLOGICAL ASSOCIATES INCE
Entity Type:Organization
Organization Name:NEUROLOGICAL ASSOCIATES INCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:J
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:LOUGEAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-457-4880
Mailing Address - Street 1:931 CHATHAM LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2417
Mailing Address - Country:US
Mailing Address - Phone:614-457-4880
Mailing Address - Fax:614-457-4890
Practice Address - Street 1:931 CHATHAM LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2417
Practice Address - Country:US
Practice Address - Phone:614-457-4880
Practice Address - Fax:614-457-4890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0201338Medicaid
OH5248600001Medicare NSC