Neurotech Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEUROTECH INC

Practice address

930 Kingsley Ave
Orange Park, FL 32073

Phone

(904) 269-0500

Fax

(904) 269-9805

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Charles W Laskey

Title

Financial Operator

Phone

(904) 269-0500

Specialties & licenses 1

Addresses

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

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Casey Edwards, FNP-BC

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1245587393
  Medicare reassignment NPD
• Lisa Townsend, RPA-C

  • Medical Physician Assistant
  • Hollywood, FL
  • NPI 1154386654
  Medicare reassignment NPD
• Andrea Nicole Wilson, CNP

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1891341681
  Medicare reassignment NPD
• Christopher S Robertson, PA-C

  • Physician Assistant
  • Orange Park, FL
  • NPI 1710169784
  Medicare reassignment
• Joseph M Shaughnessy, MD

  • Family Medicine Physician
  • Orange Park, FL
  • NPI 1336236900
  Medicare reassignment
• Jessica Ryan Volpe, ARNP

  • Primary Care Nurse Practitioner
  • Jacksonville, FL
  • NPI 1427560556
  Medicare reassignment
• Chandler Larsen Yeazitzis, PA-C

  • Physician Assistant
  • Middleburg, FL
  • NPI 1245609189
  Medicare reassignment
• Erica Jean Humbert, ARNP

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1265879563
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396828448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-269-0500",
            "fax_number": "904-269-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-269-0500",
            "fax_number": "904-269-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROTECH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASKEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FINANCIAL OPERATOR",
        "authorized_official_telephone_number": "904-269-0500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin Johana Nelson, PT, DPT
• Zachary L Neumann, DVM, MS, DACVIM
• Neuro Works Inc
• Neurocare Inc.
• Neurocare Inc.
• Neurotek Inc
• New Grace House Counseling Center, Inc.
• New Hope & Healing Clinical Associates,Inc
• New Song Counseling, Inc
• New Way Hearing AIDS, Inc.

• Family Medicine Physician in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.