Organization Active NPI

S a Neurology LLC

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1023089067
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME71135 Issued in FL
Legal business name
S A NEUROLOGY LLC
Practice address
7376 Stonerock Cir
Orlando, FL 32819-8000
Phone
(407) 226-9766
Fax
(407) 226-9834
NPI assigned
Jan 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Azra Ullah
Title
Office Manager
Phone
(407) 226-9766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME71135 FL Primary

Addresses

Primary practice location

7376 Stonerock Cir
Orlando, FL 32819-8000

Mailing address

11336 Bridge House Rd
Windermere, FL 34786-5405
Phone (407) 876-8243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050321000602 FL Part B Supplier - Clinic/Group Practice 8022063270 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1023089067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 BRIDGE HOUSE RD",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347865405",
            "telephone_number": "407-876-8243",
            "fax_number": "407-909-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 STONEROCK CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198000",
            "telephone_number": "407-226-9766",
            "fax_number": "407-226-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S A NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-28",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "ULLAH",
        "authorized_official_first_name": "AZRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "407-226-9766"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME71135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.