Healthcare Provider Details

I. General information

NPI: 1124338025
Provider Name (Legal Business Name): SURGICAL NEUROMONITORING,PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2010
Last Update Date: 10/07/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 NE 4TH ST STE 2300
BELLEVUE WA
98004-5882
US

IV. Provider business mailing address

PO BOX 5542
PITTSBURGH PA
15206-0542
US

V. Phone/Fax

Practice location:
  • Phone: 412-406-7692
  • Fax: 412-968-9113
Mailing address:
  • Phone: 972-412-5299
  • Fax: 469-453-3374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204R00000X
TaxonomyElectrodiagnostic Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY WAYNE SCHURMAN
Title or Position: PRESIDENT
Credential: AU.D., CNIM, DABNM
Phone: 412-406-7692