NEUROLOGICAL SURGERY CONSULTANTS LTD NPI 1235210907

NPI Information

  • NPI: 1235210907
  • Provider Name: NEUROLOGICAL SURGERY CONSULTANTS, LTD
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 5150 N PORT WASHINGTON RD
    SUITE 220
    GLENDALE, WI
    ZIP 53217
  • Phone: (414) 961-0089

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NPI Details

NEUROLOGICAL SURGERY CONSULTANTS, LTD is a specialist in Glendale, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEUROLOGICAL SURGERY CONSULTANTS, LTD NPI is 1235210907. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5150 N PORT WASHINGTON RD
SUITE 220
GLENDALE, WI
ZIP 53217-474
Phone: (414) 961-0089
Fax: (414) 691-1043

The provider's authorized official is Jack Hudson Deckard .
The authorized official title is President and has the following contact phone number (414) 961-0089.

The enumeration date for this NPI number is 10/18/2006 and was last updated on 8/19/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist24495WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B52362MEDICARE UPINWISCONSIN
230464900MEDICAIDWISCONSIN
3000001544MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN

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: 11/21/2025

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