Organization Active NPI

Nueroscience Associates of West Pasco

  • Neurology Physician
  • Holiday, FL
National Provider Identifier
1245288570
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NUEROSCIENCE ASSOCIATES OF WEST PASCO
Practice address
2222 US Highway 19
Holiday, FL 34691-2635
Phone
(727) 942-6511
Fax
(727) 942-3312
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Amanda Whittington
Title
Office Manager
Phone
(727) 942-6511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X FL Primary

Addresses

Primary practice location

2222 US Highway 19
Holiday, FL 34691-2635

Mailing address

2222 US Highway 19
Holiday, FL 34691-2635
Phone (727) 942-6511

Other identifiers 2

IdentifierTypeStateIssuer
6162275OtherFLAETNA ENVOY
38930OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

646 Virginia St
Fl Fifth
Dunedin, FL 34698
Phone (727) 942-6511

3006 US Highway 19
Holiday, FL 34691
Phone (727) 942-6511

Practitioners & affiliated clinicians

Practitioners 8

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245288570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912635",
            "telephone_number": "727-942-6511",
            "fax_number": "727-942-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346912635",
            "telephone_number": "727-942-6511",
            "fax_number": "727-942-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEROSCIENCE ASSOCIATES OF WEST PASCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITTINGTON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "727-942-6511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ENVOY",
            "identifier": "6162275",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "38930",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holiday, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.