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WEST SIDE NEUROLOGY SC
NPI 1265685093
Psychiatry & Neurology - Neurology in West Allis, WI

Active since October 24, 2008
2448 S 102ND ST, STE 125, WEST ALLIS, WI 53227(414) 328-3800(414) 328-3818 Get Directions Write a Review

NPPES record last updated: October 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Side Neurology Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WEST SIDE NEUROLOGY SC (NPI 1265685093) is a healthcare organization registered as a neurology in West Allis, Wisconsin and active in the NPI registry since October 2008. The organization lists Jeff Dornburg, Billing Admin, as its authorized official.

NPPES Registry Identity

NPI1265685093
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameWEST SIDE NEUROLOGY SC
Location Address2448 S 102ND ST, STE 125West Allis, WI 53227-2466
Mailing Address2448 S 102nd St, Ste 125West Allis, WI 53227-2466 · (414) 328-3800 · Fax (414) 328-3818
Phone(414) 328-3800
Fax(414) 328-3818
Organization SubpartNo
Authorized OfficialJeff DornburgBilling Admin · (414) 328-3800
Enumeration DateOctober 24, 2008
✔ NPI 1265685093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2448 S 102ND ST, West Allis, WI 53227
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Other Identifiers 1

Medicare PIN000001049WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. NICHOLE SHANNON BLIESNER PTA
Physical Therapy Assistant
2448 S 102ND ST, STE. 340
MILWAUKEE, WI 53227
Milwaukee County (414) 329-2428
LORI BOBOLZ
Occupational Therapy Assistant
2448 S 102ND ST, SUITE 340
MILWAUKEE, WI 53227
Milwaukee County (414) 329-2430
KELLY HEFTER
Occupational Therapy Assistant
2448 S 102ND ST, SUITE 340
MILWAUKEE, WI 53227
Milwaukee County (414) 329-2500
JOY SIMMONS M.S., CCC-SLP
Speech-Language Pathologist
2448 S 102ND ST, SUITE 340
WEST ALLIS, WI 53227
Milwaukee County (414) 329-2500
MRS. JEAN JOANN PEKOZ-HUEBNER P.T.
Physical Therapist
2448 S 102ND ST
MILWAUKEE, WI 53227
Milwaukee County (414) 329-2500
LEAH MIKRUT PTA
Physical Therapy Assistant
2448 S 102ND ST
MILWAUKEE, WI 53227
Milwaukee County (414) 329-2500
MRS. CAROL ANN SKURULSKY C.O.T.A.
Occupational Therapy Assistant
2448 S 102ND ST
MILWAUKEE, WI 53227
Milwaukee County (414) 329-2500
MRS. KAREN W HIRST LPT
Physical Therapist (Geriatrics)
2448 S 102ND ST, SUITE 340
MILWAUKEE, WI 53227
Milwaukee County (180) 077-6701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West Side Neurology Sc's NPI number?

The NPI number for West Side Neurology Sc is 1265685093. It was assigned to this organization in the NPPES registry on October 24, 2008.

Where is West Side Neurology Sc located?

West Side Neurology Sc is located at 2448 S 102nd St Ste 125, West Allis, WI 53227. The listed phone number is (414) 328-3800.

What is West Side Neurology Sc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for West Side Neurology Sc was last updated on October 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.