Organization Active NPI

Neurology Specialists, PA.

  • Neurology Physician
  • Fort Myers, FL
National Provider Identifier
1346303930
Registry record updated Sep 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY SPECIALISTS, PA.
Practice address
9730 Commerce Center CT
Fort Myers, FL 33908-3615
Phone
(239) 590-9190
Fax
(239) 989-0166
NPI assigned
Dec 18, 2006
Last updated
Sep 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2012

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

Authorized official

Name
Mark X NorleansNPI 1841211208
Title
Administrator
Phone
(239) 590-9190

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 Physician 2084N0400X NU Primary

Addresses

Primary practice location

9730 Commerce Center CT
Fort Myers, FL 33908-3615

Mailing address

9730 Commerce Center CT
Fort Myers, FL 33908-3615
Phone (239) 590-9190

Other identifiers 2

IdentifierTypeStateIssuer
P00162627OtherFLRAILROAD MEDICARE
ME87954OtherFLLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040716000874 FL Part B Supplier - Clinic/Group Practice 3971582560 Receives reassigned benefits from 5 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

413 Del Prado Blvd S
Ste 202
Cape Coral, FL 33990
Phone (239) 458-0761

Practitioners & affiliated clinicians

Practitioners 6

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347753600000",
    "number": "1346303930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083615",
            "telephone_number": "239-590-9190",
            "fax_number": "239-989-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 COMMERCE CENTER CT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083615",
            "telephone_number": "239-590-9190",
            "fax_number": "239-989-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY SPECIALISTS, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-09-16",
        "status": "A",
        "authorized_official_last_name": "NORLEANS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "239-590-9190"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00162627",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ME87954",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.