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: August 09, 2026.

About Wisconsin Neurology Clinic, Llc NPPES

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

WISCONSIN NEUROLOGY CLINIC, LLC (NPI 1639101405) is a healthcare organization registered as a neurology in Oak Creek, Wisconsin and active in the NPI registry since July 2006. The organization lists Virendra K Misra, Owner, as its authorized official.

NPPES Registry Identity

NPI1639101405
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameWISCONSIN NEUROLOGY CLINIC, LLC
Location Address2603 W RAWSON AVE, SUITE 128Oak Creek, WI 53154-8422
Mailing Address2603 W Rawson Ave, Suite 128Oak Creek, WI 53154-8422 · (414) 431-6760 · Fax (414) 431-6761
Fax(414) 431-6761
Organization SubpartNo
Authorized OfficialVirendra K MisraOwner · (414) 431-6760
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 24, 2007
NPI 1639101405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in WI · 38580
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.
2603 W RAWSON AVE, Oak Creek, WI 53154

Other Identifiers 1

Medicaid32336900WI

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

Accepted Insurance

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.

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 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
Clinic/Center (Urgent Care)
2603 W RAWSON AVE, SUITE 113
OAK CREEK, WI 53154
Behavior Technician
2603 W RAWSON AVE
OAK CREEK, WI 53154

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 Wisconsin Neurology Clinic, LLC's NPI number?

The NPI number for Wisconsin Neurology Clinic, LLC is 1639101405. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Wisconsin Neurology Clinic, LLC located?

Wisconsin Neurology Clinic, LLC is located at 2603 W Rawson Ave Suite 128, Oak Creek, WI 53154. The listed phone number is (414) 431-6760.

What is Wisconsin Neurology Clinic, LLC's specialty?

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

What insurance does Wisconsin Neurology Clinic, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Wisconsin Neurology Clinic, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wisconsin Neurology Clinic, LLC was last updated on October 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.