Organization Active NPI

Remyelix Neurology & Multiple Sclerosis Institute, PLLC

  • Neurology Physician
  • Tampa, FL
National Provider Identifier
1104387935
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
REMYELIX NEUROLOGY & MULTIPLE SCLEROSIS INSTITUTE, PLLC
Practice address
4907 N Florida Ave
Tampa, FL 33603-2119
Phone
(813) 549-1675
Fax
(813) 549-4175
NPI assigned
Mar 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Jeffrey Arlin Rumbaugh, MDNPI 1528093705
Title
Owner/Provider
Phone
(813) 549-1475

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)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

4907 N Florida Ave
Tampa, FL 33603-2119

Mailing address

4907 N Florida Ave
Tampa, FL 33603-2119
Phone (813) 549-1675

Other identifiers 1

IdentifierTypeStateIssuer
1528093705OtherFLINDIVIDUAL NPI

Other names 1

  • Pathway Neurology Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@Pathwayneurology.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190906000204 FL Part B Supplier - Clinic/Group Practice 6800125550 Receives reassigned benefits from 1 practitioner
Practice locations: Brandon, FL; Tampa, FL

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: info@pathwayneurology.com

Practitioners & affiliated clinicians

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": "1553558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1104387935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032119",
            "telephone_number": "813-549-1675",
            "fax_number": "813-549-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336032119",
            "telephone_number": "813-549-1675",
            "fax_number": "813-549-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REMYELIX NEUROLOGY & MULTIPLE SCLEROSIS INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "RUMBAUGH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "ARLIN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "813-549-1475",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1528093705",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@Pathwayneurology.com",
            "affiliation": "N",
            "endpointDescription": "Direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4907 N Florida Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336032119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pathway Neurology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathway Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.