GRAND CANYON NEUROLOGY, PLLC – NPI #1033650510
Psychiatry & Neurology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

GRAND CANYON NEUROLOGY, PLLC is a psychiatry & neurologist located in SCOTTSDALE, AZ. NPPES has assigned the NPI number 1033650510 to GRAND CANYON NEUROLOGY, PLLC on March 16, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0600X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Clinical Neurophysiology

The NPI profile was previously updated about 5 years ago on May 07, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRAND CANYON NEUROLOGY, PLLC below.

NPI Profile for
GRAND CANYON NEUROLOGY, PLLC

NPI Number
1033650510
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRAND CANYON NEUROLOGY, PLLC
Primary location
10025 E DYNAMITE BLVD
SCOTTSDALE, AZ 85262
Phone: (602) 338-9745 Fax:
Mailing address
MSC 334 PO BOX 29201
PHOENIX, AZ 85038-9201
Phone: (602) 338-9745 Fax:
Organization Subpart
No
Authorized Official
FELICIA ALDERETE
LEGAL OPERATIONS MANAGER
Phone: (210) 598-2801
Updated
Certification Date
May 07, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.