Provider Demographics
NPI:1346572443
Name:NEUROSURGICAL ASSOCIATES, LTD
Entity Type:Organization
Organization Name:NEUROSURGICAL ASSOCIATES, LTD
Other - Org Name:BARROW BRAIN AND SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-406-2457
Mailing Address - Street 1:2910 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4434
Mailing Address - Country:US
Mailing Address - Phone:602-406-3181
Mailing Address - Fax:602-406-6108
Practice Address - Street 1:10245 N 92ND ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-4563
Practice Address - Country:US
Practice Address - Phone:480-767-0555
Practice Address - Fax:480-704-3373
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEUROSURGICAL ASSOCIATES, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-01
Last Update Date:2020-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZWCJBPOtherMEDICARE PTAN
AZ5871900005Medicare NSC