Organization Active NPI

Sebring Neurology Clinic PA

  • Specialist
  • Sebring, FL
National Provider Identifier
1245271626
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0059629 Issued in FL
Legal business name
SEBRING NEUROLOGY CLINIC PA
Practice address
3220 Physicians Way
Sebring, FL 33870-5447
Phone
(863) 471-6600
Fax
(863) 471-6762
NPI assigned
Jun 9, 2006
Last updated
Oct 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Jaswinder Jitsingh Khara, M.D.NPI 1568407542
Title
President, Owner
Phone
(863) 471-6600

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
Specialist 174400000X ME0059629 FL Primary

Addresses

Primary practice location

3220 Physicians Way
Sebring, FL 33870-5447

Mailing address

3220 Physicians Way
Sebring, FL 33870-5447
Phone (863) 471-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120808000220 FL Part B Supplier - Clinic/Group Practice 2668628611 Receives reassigned benefits from 1 practitioner
Practice locations: Sebring, FL

National Provider Directory

National Provider Directory

Locations

3220 Physicians Way
Sebring, FL 33870
Phone (863) 471-6600

3750 Emergency Ln
Ste 2
Sebring, FL 33870
Phone (863) 471-6575

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1245271626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 PHYSICIANS WAY",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705447",
            "telephone_number": "863-471-6600",
            "fax_number": "863-471-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 PHYSICIANS WAY",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705447",
            "telephone_number": "863-471-6600",
            "fax_number": "863-471-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBRING NEUROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "KHARA",
        "authorized_official_first_name": "JASWINDER",
        "authorized_official_middle_name": "JITSINGH",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "863-471-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0059629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.