Neurologic Consultants, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME80512 Issued in FL

Legal business name

NEUROLOGIC CONSULTANTS, PA

Practice address

517 Riviera St
Suite a
Venice, FL 34285-2827

Phone

(941) 412-1208

Fax

(941) 412-1248

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jullius Ilao Ancheta, MDNPI 1225146350

Title

President/Physician

Phone

(941) 412-1208

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3624/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Jullius I Ancheta, M.D.

  • Neurology Physician
  • Venice, FL
  • NPI 1225146350
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1124028915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 RIVIERA ST",
            "address_2": "SUITE A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852827",
            "telephone_number": "941-412-1208",
            "fax_number": "941-412-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 RIVIERA ST",
            "address_2": "SUITE A",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852827",
            "telephone_number": "941-412-1208",
            "fax_number": "941-412-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGIC CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "ANCHETA",
        "authorized_official_first_name": "JULLIUS",
        "authorized_official_middle_name": "ILAO",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "941-412-1208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME80512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264553000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "58680",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Nelson Privette, ARNP
• Gilma A Nelson, CRNA
• Patrick William Nelson, O.D.
• Dana M Neri, RPT
• Prapti Neupane
• Neurology Associates-Tonya Stephenson, MD LLC
• Neurosurgical Associates Cassidy & Guerin, MD, PA
• Joshua M Newman, MD
• Nexxa Medical Devices LLC
• Tracy NG, D.O.

• Neurology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.