Organization Active NPI

Neurocare Institute of Central Florida, P.a.

  • Neurology Physician
  • Winter Park, FL
National Provider Identifier
1346230372
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS-0005087 Issued in FL
Legal business name
NEUROCARE INSTITUTE OF CENTRAL FLORIDA, P.A.
Practice address
1890 State Road 436
Suite 255
Winter Park, FL 32792-2285
Phone
(407) 657-7900
Fax
(407) 657-7942
NPI assigned
Oct 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Hal S Pineless, D.O.NPI 1114917978
Title
President
Phone
(407) 657-7900

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X OS-0005087 FL Primary

Addresses

Primary practice location

1890 State Road 436
Suite 255
Winter Park, FL 32792-2285

Mailing address

1890 State Road 436
Suite 255
Winter Park, FL 32792-2285
Phone (407) 657-7900

Other names 1

  • NeuroCare Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405001471 FL Part B Supplier - Clinic/Group Practice 0345233417 Receives reassigned benefits from 3 practitioners
Practice locations: Winter Park, FL

National Provider Directory

National Provider Directory

Locations

1890 State Road 436
Ste 255
Winter Park, FL 32792
Phone (407) 657-7900

Practitioners & affiliated clinicians

Practitioners 4

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": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1346230372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 255",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-657-7900",
            "fax_number": "407-657-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 STATE ROAD 436",
            "address_2": "SUITE 255",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327922285",
            "telephone_number": "407-657-7900",
            "fax_number": "407-657-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE INSTITUTE OF CENTRAL FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "PINELESS",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-657-7900",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS-0005087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NeuroCare Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.