WISCONSIN NEUROLOGY CLINIC, LLC
NPI 1639101405
Psychiatry & Neurology - Neurology in Oak Creek, WI

Active since July 06, 2006
2603 W RAWSON AVE, SUITE 128, OAK CREEK, WI 53154(414) 431-6760(414) 431-6761 Get Directions Write a Review

NPPES record last updated: October 24, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance

About WISCONSIN NEUROLOGY CLINIC, LLC

This page provides the complete NPI Profile along with additional information for Wisconsin Neurology Clinic, Llc, a provider established in Oak Creek, Wisconsin operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1639101405 assigned on July 2006. The practitioner's primary taxonomy code is 2084N0400X with license number 38580 (WI). The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Virendra K Misra Md (Owner)

NPI
1639101405 Verify this NPI
Provider Name
WISCONSIN NEUROLOGY CLINIC, LLC
Entity Type
Organization
Location Address
2603 W RAWSON AVE SUITE 128 OAK CREEK, WI 53154
Location Phone
(414) 431-6760
Location Fax
(414) 431-6761
Mailing Address
2603 W RAWSON AVE SUITE 128 OAK CREEK, WI 53154
Mailing Phone
(414) 431-6760
Mailing Fax
(414) 431-6761
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-06-2006
Last Update Date
10-24-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
License No.
38580
License State
WI
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
  • Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
  • Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VIRENDRA K MISRA MD

Authorized Official Title
OWNER
Authorized Official Phone
(414) 431-6760

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
32336900MEDICAID (05)WI 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
2603 W RAWSON AVE, SUITE 121
OAK CREEK, WI 53154
Clinic/Center (Urgent Care)
2603 W RAWSON AVE, SUITE 113
OAK CREEK, WI 53154
Obstetrics & Gynecology
2603 W RAWSON AVE
OAK CREEK, WI 53154
Physical Therapist
2603 W RAWSON AVE, SUITE 104
OAK CREEK, WI 53154
Dentist
2603 W RAWSON AVE, SUITE 123
OAK CREEK, WI 53154
Family Medicine
2603 W RAWSON AVE, SUITE 127
OAK CREEK, WI 53154
Psychiatry & Neurology (Neurology)
2603 W RAWSON AVE, SUITE 128
OAK CREEK, WI 53154
Nurse Practitioner (Primary Care)
2603 W RAWSON AVE, SUITE 713
OAK CREEK, WI 53154
Family Medicine
2603 W RAWSON AVE, 127
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Analyst
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639101405, enumerated as an "organization" on July 06, 2006.

The provider is located at 2603 W RAWSON AVE SUITE 128 OAK CREEK, WI 53154 and the phone number is (414) 431-6760.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.