Orange County Neurology Clinic, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

ORANGE COUNTY NEUROLOGY CLINIC, LLC

Practice address

4359 Hunters Park LN
Orlando, FL 32837-7614

Phone

(407) 251-6511

Fax

(407) 251-6513

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Yassar Chakfe, MDNPI 1427179860

Title

Managing Member

Phone

(407) 251-6511

Specialties & licenses 1

Addresses

Other names 1

• Brain & Nerve Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Yassar Chakfe, MD

  • Neurology Physician
  • Orlando, FL
  • NPI 1427179860
  Medicare reassignment NPD Authorized official
• Yuan Tian, APRN

  • Nurse Practitioner
  • Orlando, FL
  • NPI 1982480414
  Medicare reassignment NPD

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532822400000",
    "number": "1124319587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4359 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377614",
            "telephone_number": "407-251-6511",
            "fax_number": "407-251-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 HUNTERS PARK LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377614",
            "telephone_number": "407-251-6511",
            "fax_number": "407-251-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY NEUROLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2018-07-29",
        "status": "A",
        "authorized_official_last_name": "CHAKFE",
        "authorized_official_first_name": "YASSAR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "407-251-6511",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain & Nerve Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orange County Corrections
• Orange County Health Deaprtment
• Orange County Healthcare
• Orange County Medical Clinic Pharmacy
• Orange County Medical Solutions, LLC
• Orange County Personal Care Services LLC
• Orange County Public Schools
• Orange County Public Schools
• Orange County Public Schools
• Orange County Public Schools

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2018; 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.