Active NPI
Intact Pathways, Inc.
- Electroneurodiagnostic Specialist/Technologist
- Tampa, FL
National Provider Identifier
1134564362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Legal business name
- INTACT PATHWAYS, INC.
- Practice address
- 4830 W Kennedy Blvd
Suite 600
Tampa, FL 33609-2564 - Phone
- (855) 694-6626
- Fax
- (855) 694-6626
- NPI assigned
- May 1, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Purdon, CNIM
- Title
- President
- Phone
- (832) 585-3897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
4830 W Kennedy Blvd
Suite 600
Tampa, FL 33609-2564
Mailing address
PO Box 73126
Houston, TX 77273-3126
Phone (855) 694-6626
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1402444800000",
"number": "1134564362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73126",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772733126",
"telephone_number": "855-694-6626",
"fax_number": "855-694-6626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 W KENNEDY BLVD",
"address_2": "SUITE 600",
"city": "TAMPA",
"state": "FL",
"postal_code": "336092564",
"telephone_number": "855-694-6626",
"fax_number": "855-694-6626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTACT PATHWAYS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-01",
"last_updated": "2014-06-11",
"status": "A",
"authorized_official_last_name": "PURDON",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "832-585-3897",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CNIM"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.