NPIMap

Organization Active NPI

Palm Beach Neurosurgery LLC

  • Neurological Surgery Physician
  • Lake Worth, FL
National Provider Identifier
1194775759
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
PALM BEACH NEUROSURGERY LLC
Practice address
4560 Lantana Rd Ste 120
Lake Worth, FL 33463-6998
Phone
(561) 433-4444
Fax
(561) 433-8877
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Steven A Dutcher, DONPI 1972598464
Title
Managing Partner
Phone
(561) 433-4444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

4560 Lantana Rd Ste 120
Lake Worth, FL 33463-6998

Mailing address

4560 Lantana Rd Ste 120
Lake Worth, FL 33463-6998
Phone (561) 433-4444

Other practice location 1

601 University Blvd Ste 203
Jupiter, FL 33458-2788
Phone (561) 433-4444

Other identifiers 1

IdentifierTypeStateIssuer
277724000MedicaidFL

Other names 1

  • Palm Beach Neurosurgery Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061017000518 FL Part B Supplier - Clinic/Group Practice 5890791792 Receives reassigned benefits from 7 practitioners
Practice locations: Lake Worth, FL; Jupiter, FL

National Provider Directory

National Provider Directory

Locations

4560 Lantana Rd
Ste 120
Lake Worth, FL 33463
Phone (561) 433-4444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFEJCA

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1194775759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 LANTANA RD STE 120",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636998",
            "telephone_number": "561-433-4444",
            "fax_number": "561-433-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 LANTANA RD STE 120",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636998",
            "telephone_number": "561-433-4444",
            "fax_number": "561-433-8877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 University Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Jupiter",
            "state": "FL",
            "postal_code": "334582788",
            "country_code": "US",
            "telephone_number": "561-433-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM BEACH NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "DUTCHER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-433-4444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277724000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Neurosurgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.