Organization Active NPI

Nature Coast Neurosugery Inc

Doing business as Nature Coast Neurosurgery Inc

  • Specialist
  • Hudson, FL
National Provider Identifier
1063631133
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME94451 Issued in FL
Legal business name
NATURE COAST NEUROSUGERY INC
Doing business as
Nature Coast Neurosurgery Inc
Practice address
13911 Lakeshore Blvd
Hudson, FL 34667-7102
Phone
(727) 862-1234
Fax
(727) 862-1616
NPI assigned
Apr 25, 2007
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Wayne L Wittenberg, MD
Title
President
Phone
(727) 862-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME94451 FL Primary

Addresses

Primary practice location

13911 Lakeshore Blvd
Hudson, FL 34667-7102

Mailing address

13911 Lakeshore Blvd
Hudson, FL 34667-7102
Phone (727) 862-1234

Other names 1

  • Nature Coast Neurosurgery Inc Doing business as

National Provider Directory

National Provider Directory

Locations

13911 Lakeshore Blvd
Hudson, FL 34667
Phone (727) 862-1234

13911 Lakeshore Blvd
Ste 107
Hudson, FL 34667
Phone (727) 862-0569

13911 Lakeshore Blvd
Ste F
Hudson, FL 34667
Phone (727) 862-1234

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1063631133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 LAKESHORE BLVD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677102",
            "telephone_number": "727-862-1234",
            "fax_number": "727-862-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 LAKESHORE BLVD",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346677102",
            "telephone_number": "727-862-1234",
            "fax_number": "727-862-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURE COAST NEUROSUGERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "WITTENBERG",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-862-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME94451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nature Coast Neurosurgery Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.