Provider Demographics
NPI:1134289366
Name:NEUROSURGICAL CARE INC
Entity Type:Organization
Organization Name:NEUROSURGICAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:937-438-6465
Mailing Address - Street 1:300 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45405-4500
Mailing Address - Country:US
Mailing Address - Phone:937-438-6465
Mailing Address - Fax:937-438-7477
Practice Address - Street 1:300 FOREST AVE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45405-4500
Practice Address - Country:US
Practice Address - Phone:937-438-6465
Practice Address - Fax:937-438-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004142207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2813736Medicaid
OH5467520001Medicare NSC
OH2813736Medicaid
OH9357461Medicare PIN