Organization Active NPI

Oviedo Neurology LLC

  • Neurology Physician
  • Oviedo, FL
National Provider Identifier
1417875832
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
OVIEDO NEUROLOGY LLC
Doing business as
CORE NEUROLOGY
Practice address
870 Clark St
Oviedo, FL 32765-9270
Phone
(407) 447-7181
Fax
(407) 447-7181
NPI assigned
Jul 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Mr. Shasanka Thumu, OWNER
Title
Owner
Phone
(407) 447-7181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

870 Clark St
Oviedo, FL 32765-9270

Mailing address

870 Clark St
Oviedo, FL 32765-9270
Phone (407) 447-7181

Other names 1

  • CORE NEUROLOGY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Oviedo Neurology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1417875832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 CLARK ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-447-7181",
            "fax_number": "407-447-7184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 CLARK ST",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327659270",
            "telephone_number": "407-447-7181",
            "fax_number": "407-447-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIEDO NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "THUMU",
        "authorized_official_first_name": "SHASANKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-447-7181",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE NEUROLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.