Organization Active NPI

Neurohealth Center LLC

  • Neurological Surgery Physician
  • Lake Mary, FL
National Provider Identifier
1497992242
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OS0004804 Issued in FL
Legal business name
NEUROHEALTH CENTER LLC
Practice address
755 Stirling Center PL
Lake Mary, FL 32746-5714
Phone
(407) 878-3704
Fax
(407) 878-3705
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Dr. Raul A Rodas, DONPI 1851362925
Title
Member
Phone
(386) 334-2524

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X OS0004804 FL Primary

Addresses

Primary practice location

755 Stirling Center PL
Lake Mary, FL 32746-5714

Mailing address

755 Stirling Center PL
Lake Mary, FL 32746-5714
Phone (407) 878-3704

Other practice location 1

755 Stirling Center Pl
Lake Mary, FL 32746-5714
Phone (407) 878-3704

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000352 FL Part B Supplier - Clinic/Group Practice 4587721410 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, FL; Sanford, FL

National Provider Directory

National Provider Directory

Locations

875 Sterthaus Dr
Ormond Beach, FL 32174
Phone (386) 676-6003

201 Health Park Blvd
Ste 214
St Augustine, FL 32086
Phone (904) 824-9164

Practitioners & affiliated clinicians

Practitioners 1

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": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1497992242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465714",
            "telephone_number": "407-878-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465714",
            "telephone_number": "407-878-3704",
            "fax_number": "407-878-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 Stirling Center Pl",
            "address_purpose": "LOCATION",
            "city": "Lake Mary",
            "state": "FL",
            "postal_code": "327465714",
            "country_code": "US",
            "telephone_number": "407-878-3704",
            "fax_number": "407-878-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROHEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "386-334-2524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS0004804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.