Individual provider Active NPI

Trichinopoly Ramaswamy Narayanaswamy, MD

  • Neurology Physician
  • Eglin Afb, FL
National Provider Identifier
1104810894
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME 79586 Issued in FL
Practice address
96TH Mdos/Sgomi
307 Boatner Road Suite 114
Eglin Afb, FL 32542-1391
Phone
(850) 883-9737
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME 79586 FL Primary

Addresses

Primary practice location

96TH Mdos/Sgomi
307 Boatner Road Suite 114
Eglin Afb, FL 32542-1391

Mailing address

169B Nordberg Ave
Valparaiso, FL 32580-1130
Phone (850) 678-6264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130508000466 FL Order and Referring Only - NeurologyPractitioner - Neurology 9638186463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 79586FLMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104810894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169B NORDBERG AVE",
            "city": "VALPARAISO",
            "state": "FL",
            "postal_code": "325801130",
            "telephone_number": "850-678-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96TH MDOS/SGOMI",
            "address_2": "307 BOATNER ROAD SUITE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421391",
            "telephone_number": "850-883-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARAYANASWAMY",
        "first_name": "TRICHINOPOLY",
        "middle_name": "RAMASWAMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME 79586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eglin Afb, FL

Sources for this page

Verify at the official NPI Registry.