NPIMap

Organization Active NPI

Neurological Specialties Neurosurgery PA

  • Neurological Surgery Physician
  • Tampa, FL
National Provider Identifier
1265490502
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
NEUROLOGICAL SPECIALTIES NEUROSURGERY PA
Practice address
2816 W Virginia Ave
Neurological Specialties Neurosurgery PA
Tampa, FL 33607-6330
Phone
(813) 876-6321
Fax
(813) 870-0350
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Jack Earl Maniscalco, MD
Title
President
Phone
(813) 876-6321

Specialties & licenses 1

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

Addresses

Primary practice location

2816 W Virginia Ave
Neurological Specialties Neurosurgery PA
Tampa, FL 33607-6330

Mailing address

2816 W Virginia Ave
Neurological Specialties Neurosurgery PA
Tampa, FL 33607-6330
Phone (813) 876-6321

Other identifiers 1

IdentifierTypeStateIssuer
98598OtherFLBCBS OF FLORIDA

Other names 1

  • Maniscalco and Newman MDS PA Former legal business name

National Provider Directory

National Provider Directory

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": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1265490502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 W VIRGINIA AVE",
            "address_2": "NEUROLOGICAL SPECIALTIES NEUROSURGERY PA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076330",
            "telephone_number": "813-876-6321",
            "fax_number": "813-870-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2816 W VIRGINIA AVE",
            "address_2": "NEUROLOGICAL SPECIALTIES NEUROSURGERY PA",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076330",
            "telephone_number": "813-876-6321",
            "fax_number": "813-870-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL SPECIALTIES NEUROSURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "MANISCALCO",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-876-6321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "98598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maniscalco and Newman MDS PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.