Provider Demographics
NPI:1235300401
Name:WORLD WIDE NEUROLOGY, LTD
Entity Type:Organization
Organization Name:WORLD WIDE NEUROLOGY, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-569-3381
Mailing Address - Street 1:456 N NEW BALLAS RD
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6831
Mailing Address - Country:US
Mailing Address - Phone:314-569-3381
Mailing Address - Fax:314-569-1383
Practice Address - Street 1:456 N NEW BALLAS RD
Practice Address - Street 2:
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6831
Practice Address - Country:US
Practice Address - Phone:314-569-3381
Practice Address - Fax:314-569-1383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR51052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO3138184OtherCIGNA
MO005006OtherEXCLUSIVE CHOICE
MO13005594OtherRR MEDICARE, AUGUSTA, GA
MO17836OtherANTHEM BCBS
MO05-00073OtherUHC MIDWEST
MO168031OtherHEALTHLINK HMO/PPO
MO2068907OtherAETNA
MO05-00073OtherUHC MIDWEST
MO2068907OtherAETNA
MO2145V=========02OtherGHP
MO168031OtherHEALTHLINK HMO/PPO
MOA12720Medicare UPIN