Neurology Associates of North Florida , Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME62533 Issued in FL

Legal business name

NEUROLOGY ASSOCIATES OF NORTH FLORIDA , INC

Practice address

1361 13TH Ave S Ste 170a
Jacksonville Beach, FL 32250-3235

Phone

(904) 249-4456

Fax

(904) 249-7703

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Richard Boehme, MDNPI 1245227800

Title

President

Phone

(904) 249-4456

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard J Boehme, MD

  • Neurology Physician
  • Jacksonville Beach, FL
  • NPI 1245227800
  Medicare reassignment NPD Authorized official
• Erin Gautier Doty, MD

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1790866747
  Medicare reassignment NPD
• Ingrid Laurinaitis, P.A.-C

  • Physician Assistant
  • Jacksonville Beach, FL
  • NPI 1003867656
  Medicare reassignment

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1104863042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-0015",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 170A",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503235",
            "telephone_number": "904-249-4456",
            "fax_number": "904-249-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF NORTH FLORIDA , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "BOEHME",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-249-4456",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME62533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.R. MEDICARE",
            "identifier": "DD6330",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William J Namen II, D.P.M.
• Anem Javed Nawaz
• Mitzy K Neel, LMHC
• Ali Zahiri Negad, PT, DPT
• Trisha Nelligan, OT
• Neurology Associates of North Florida Diagnostics,Inc.
• Beverly S Newton, ARNP
• Christine Siew-Pun NG, MD
• Callie Nicholson
• Nicole Schweon LMHC Cap NCC LLC

• Neurology Physician in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.