| Advanced Neurology & Emg, Llc | |
|
12000 Mccracken Rd Suite 357 Garfield Heights OH 44125-2964 | |
| (216) 332-0920 | |
| (216) 332-0950 |
| Full Name | Advanced Neurology & Emg, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 12000 Mccracken Rd, Garfield Heights, Ohio |
| Authorized Official Name and Position | Judah R Lindenberg (PRESIDENT) |
| Authorized Official Contact | 2163320920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Neurology & Emg, Llc 12000 Mccracken Rd Suite 357 Garfield Heights OH 44125-2964 Ph: (216) 332-0920 | Advanced Neurology & Emg, Llc 12000 Mccracken Rd Suite 357 Garfield Heights OH 44125-2964 Ph: (216) 332-0920 |
| NPI Number | 1235195124 |
|---|---|
| Provider Enumeration Date | 04/21/2006 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 5092710921 |
|---|---|
| Medicare Enrollment ID | O20060927000094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235195124 | NPI | - | NPPES |
| 2709144 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 35-080644 (Ohio) | Primary |
| Provider Name | Judah R Lindenberg |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164411260 PECOS PAC ID: 4587609169 Enrollment ID: I20050623000763 |
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