Active NPI
Parkinsons &Neurology Clinic LLC
- Neurology Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- PARKINSONS &NEUROLOGY CLINIC LLC
- Practice address
- 11700 N 58TH St
Temple Terrace, FL 33617-1666 - Phone
- (813) 690-6144
- Fax
- (813) 980-0303
- NPI assigned
- Mar 13, 2023
- 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
- Israt Jahan, MD
- Title
- Director
- Phone
- (813) 451-7431
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
11700 N 58TH St
Temple Terrace, FL 33617-1666
Mailing address
20248 Merry Oak Ave
Tampa, FL 33647-3642
Phone (813) 451-7431
Other practice location 1
8701 49th St N
Pinellas Park, FL 33782-5331
Phone (727) 546-4661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2010 59th St W
Ste 3800
Bradenton, FL 34209
Phone (727) 313-7679
2299 9th Ave N
Ste 3D
St Petersburg, FL 33713
Phone (727) 313-7679
11700 N 58th St
Temple Terrace, FL 33617
Phone (813) 690-6144
27453 Cashford Cir
Ste 101
Wesley Chapel, FL 33544
Phone (727) 313-7679
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Tampa, FL
- NPI 1447637129
-
- Physical Therapist
- Wesley Chapel, FL
- NPI 1285156562
-
- Specialist
- St Petersburg, FL
- NPI 1265424378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1093416653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20248 MERRY OAK AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336473642",
"telephone_number": "813-451-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11700 N 58TH ST",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336171666",
"telephone_number": "813-690-6144",
"fax_number": "813-980-0303"
}
],
"practiceLocations": [
{
"address_1": "8701 49th St N",
"address_purpose": "LOCATION",
"city": "Pinellas Park",
"state": "FL",
"postal_code": "337825331",
"country_code": "US",
"telephone_number": "727-546-4661",
"fax_number": "727-545-8783",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PARKINSONS &NEUROLOGY CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2023-03-13",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "JAHAN",
"authorized_official_first_name": "ISRAT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "813-451-7431",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.