Neurology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

OS5338 Issued in FL

Legal business name

NEUROLOGY PA

Practice address

4161 Tamiami TRL
Suite 201
Port Charlotte, FL 33952-9208

Phone

(941) 764-0800

Fax

(941) 764-6494

NPI assigned

Jun 25, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William A Holt, D.O.NPI 1932132677

Title

President

Phone

(941) 764-0800

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20881/brand/1/csg/1/fhir/r4

Practitioners 5

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.

• Kristina Crook

  • Neurology Physician
  • Port Charlotte, FL
  • NPI 1740610062
  Medicare reassignment Care Compare group NPD
• William A Holt, DO

  • Specialist
  • Port Charlotte, FL
  • NPI 1932132677
  Medicare reassignment NPD Authorized official
• George Gang Li, M.D.

  • Specialist
  • Port Charlotte, FL
  • NPI 1871668368
  Medicare reassignment Care Compare group NPD
• Liliana Montoya, MD

  • Specialist
  • Port Charlotte, FL
  • NPI 1245255793
  Medicare reassignment Care Compare group NPD
• William Lane Edwards Jr., ARNP

  • Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1861480790
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1326074857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529208",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 201",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529208",
            "telephone_number": "941-764-0800",
            "fax_number": "941-764-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-764-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "OS5338",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME85919",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME99150",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9101267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2663",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262779500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M Nelson, LMT
• Ingrid Angela Nembhard
• Dorothy K Nemec, M.D.
• Annette Elgin Neumann, D.O.
• Neuro Health & Wellness Center PLLC
• Neurosurgical Spine Institute LLC
• New Hope Natural Healing Center Inc
• New Hope Natural Healing Center Inc
• Nicholas John Newbold Jr., ARNP
• Newtone Hearing Center, Inc

• Specialist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.