Individual provider Active NPI

Neal Hodges Fouke

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1033675277
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111826 Issued in FL
Practice address
3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 33308-7300
Phone
(754) 270-6322
NPI assigned
Feb 12, 2019
Last updated
May 15, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9111826 OR
Physician Assistant 363A00000X PA9111826 FL Primary

Addresses

Primary practice location

3015 N Ocean Blvd Ste C101
Fort Lauderdale, FL 33308-7300

Mailing address

25 N 4TH St
Central Point, OR 97502-2032
Phone (541) 748-9650

Other practice location 1

25 N 4th St
Central Point, OR 97502-2032
Phone (541) 748-9650

Other identifiers 1

IdentifierTypeStateIssuer
PA9111826OtherFLPHYSICIAN ASSISTANT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nealfouke@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190328002313 FL Practitioner - Physician Assistant 9739429762 Reassigns benefits to 1 organization
I20231222001958 OR Practitioner - Physician Assistant 9739429762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onepeak Southern Oregon PCGroup PAC ID 5395129670, 25 clinicians

Practice addresses (Care Compare)

1325 NE 7TH St
Grants Pass, OR 97526-1358
Phone (541) 460-5331

25 N 4TH St
Central Point, OR 97502-2032
Phone (541) 748-9650

2655 Siskiyou Blvd
Medford, OR 97504-8125
Phone (541) 304-8008

3265 Hillcrest Park Dr
Medford, OR 97504-7657
Phone (541) 890-5217

8336 Hwy 62
Suite 101
White City, OR 97503-1024
Phone (541) 826-7410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9111826ORMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Stop Medicine Inc CurrentSince May 4, 2026 Accepting new patients
One Stop Psychiatry LLC CurrentSince May 4, 2026 Accepting new patients
Nisha Jackson PC PastSince Mar 24, 2024 Accepting new patients
Florida House Physicians Group Inc PastSince Feb 1, 2020 Accepting new patients
Deerfield Florida House, Inc PastSince Jul 31, 2022 Accepting new patients
Deerfield Health Clinic, LLC PastSince Feb 1, 2020 Accepting new patients

Locations

3015 N Ocean Blvd
Ste C101
Fort Lauderdale, FL 33308
Phone (754) 241-1087

Interoperability endpoints

  • Direct secure messaging: neal.hodgesfouke.p1@direct.opm.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1033675277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N 4TH ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022032",
            "telephone_number": "541-748-9650",
            "fax_number": "541-615-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N OCEAN BLVD STE C101",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333087300",
            "telephone_number": "754-270-6322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Central Point",
            "state": "OR",
            "postal_code": "975022032",
            "country_code": "US",
            "telephone_number": "541-748-9650",
            "fax_number": "541-615-9306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOUKE",
        "first_name": "NEAL",
        "middle_name": "HODGES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA9111826",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "PA9111826",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nealfouke@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "502 S Federal Hwy",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.