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COLUMBUS EVOKE MEDICAL LLC NPI 1811414915


NPI Information

NPI: 1811414915
Provider Name: COLUMBUS EVOKE MEDICAL, LLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

CLIA Number: 36D0883419

Address:
1391 W 5TH AVE # 224
COLUMBUS, OH
ZIP 43212
Phone: (210) 598-4277
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COLUMBUS EVOKE MEDICAL, LLC is a clinical neurophysiology psychiatry neurology in Columbus, OH. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). COLUMBUS EVOKE MEDICAL, LLC NPI is 1811414915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1391 W 5TH AVE # 224
COLUMBUS, OH
ZIP 43212-902
Phone: (210) 598-4277

The provider's authorized official is Roxanna Laroque .
The authorized official title is Director Of Client Experience and has the following contact phone number (210) 598-2801.

The CLIA number assigned to this NPI record is 36D0883419 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/29/2017 and was last updated on 7/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204R00000XElectrodiagnostic MedicineNo
22084N0400XPsychiatry & NeurologyNeurologyNo
3246ZE0600XSpecialist/Technologist, OtherElectroneurodiagnosticNo
42084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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