Provider Demographics
NPI:1932221041
Name:COMPREHENSIVE NEUROLOGY, CHARTERED
Entity Type:Organization
Organization Name:COMPREHENSIVE NEUROLOGY, CHARTERED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ZWIBELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-642-8941
Mailing Address - Street 1:3008 W 89TH TER
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1720
Mailing Address - Country:US
Mailing Address - Phone:913-642-8941
Mailing Address - Fax:913-642-8941
Practice Address - Street 1:601 N MUR LEN RD
Practice Address - Street 2:SUITE 8
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-5415
Practice Address - Country:US
Practice Address - Phone:913-642-8941
Practice Address - Fax:913-642-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-236552084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSE88843Medicare UPIN
KS0002905Medicare ID - Type Unspecified