Organization Active NPI

South Florida Neurosurgery

  • Neurological Surgery Physician
  • Atlantis, FL
National Provider Identifier
1336560853
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME87558 Issued in FL
Legal business name
SOUTH FLORIDA NEUROSURGERY
Practice address
5503 S Congress Ave Ste 204
Atlantis, FL 33462-6626
Phone
(561) 410-5110
NPI assigned
Dec 31, 2013
Last updated
Jan 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
Joshua G KouriNPI 1366450959
Title
Manager
Phone
(561) 410-5110

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
Neurological Surgery Physician 207T00000X ME87558 FL Primary

Addresses

Primary practice location

5503 S Congress Ave Ste 204
Atlantis, FL 33462-6626

Mailing address

5503 S Congress Ave Ste 204
Atlantis, FL 33462-6626
Phone (561) 410-5110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140303001478 FL Part B Supplier - Clinic/Group Practice 9436389970 Receives reassigned benefits from 4 practitioners
Practice locations: Atlantis, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1336560853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE STE 204",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626626",
            "telephone_number": "561-410-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE STE 204",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626626",
            "telephone_number": "561-410-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FLORIDA NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "KOURI",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-410-5110"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME87558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.