Active NPI
S a Neurology LLC
- Neurology Physician
- Orlando, FL
National Provider Identifier
1023089067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME71135
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050321000602 | FL | Part B Supplier - Clinic/Group Practice | 8022063270 |
Receives reassigned benefits from 1 practitioner Practice locations: Orlando, FL |
National Provider Directory
National Provider DirectoryPractitioners 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.