Active NPI
Arubah Neuroscience Institute PLLC
- Neurological Surgery Physician
- Fort Pierce, FL
National Provider Identifier
1487024162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- Legal business name
- ARUBAH NEUROSCIENCE INSTITUTE PLLC
- Practice address
- 1701 S 23Rd St
Fort Pierce, FL 34950-4803 - Phone
- (722) 448-8600
- Fax
- (722) 448-8612
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Akram Shhadeh, MD
- Title
- President/Member
- Phone
- (973) 901-5457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | Primary |
Addresses
Primary practice location
1701 S 23Rd St
Fort Pierce, FL 34950-4803
Mailing address
214 Green Bay Rd
Thiensville, WI 53092-1616
Phone (844) 458-4201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018549200 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1493769600000",
"number": "1487024162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 GREEN BAY RD",
"city": "THIENSVILLE",
"state": "WI",
"postal_code": "530921616",
"telephone_number": "844-458-4201",
"fax_number": "414-247-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 S 23RD ST",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349504803",
"telephone_number": "722-448-8600",
"fax_number": "722-448-8612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARUBAH NEUROSCIENCE INSTITUTE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-07",
"last_updated": "2017-05-03",
"status": "A",
"authorized_official_last_name": "SHHADEH",
"authorized_official_first_name": "AKRAM",
"authorized_official_title_or_position": "PRESIDENT/MEMBER",
"authorized_official_telephone_number": "973-901-5457",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018549200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.