Organization Active NPI

Muhammed Y Memon MD PA

  • Neurological Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1245562677
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME0022458 Issued in FL
Legal business name
MUHAMMED Y MEMON MD PA
Practice address
2400 Harbor Blvd
Ste 10
Port Charlotte, FL 33952-5052
Phone
(941) 625-0414
Fax
(941) 625-5984
NPI assigned
Feb 10, 2010
Last updated
Jun 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Muhammed Y Memon, MD
Title
Owner
Phone
(941) 625-0414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X ME0022458 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Ste 10
Port Charlotte, FL 33952-5052

Mailing address

2400 Harbor Blvd
Ste 10
Port Charlotte, FL 33952-5052
Phone (941) 625-0414

National Provider Directory

National Provider Directory

Locations

21260 Olean Blvd
#104
Port Charlotte, FL 33952
Phone (941) 235-5800

2400 Harbor Blvd
Ste 10
Pt Charlotte, FL 33952
Phone (941) 625-0414

2852 Tamiami Trl
Ste 5
Pt Charlotte, FL 33952
Phone (941) 625-4442

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": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1245562677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 10",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-625-0414",
            "fax_number": "941-625-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "STE 10",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-625-0414",
            "fax_number": "941-625-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMED Y MEMON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "MUHAMMED",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-625-0414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME0022458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.