Neuroloogicial Neurosurgical Pain Management Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

NEUROLOOGICIAL NEUROSURGICAL PAIN MANAGEMENT CENTER INC

Practice address

8390 W Flagler St
Ste 107
Miami, FL 33144-2039

Phone

(305) 551-8121

Fax

(305) 551-7603

NPI assigned

Dec 27, 2005

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard O Gershanik, MD

Title

President

Phone

(305) 551-8127

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1639156292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-551-8121",
            "fax_number": "305-551-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "STE 107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-551-8121",
            "fax_number": "305-551-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOOGICIAL NEUROSURGICAL PAIN MANAGEMENT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "GERSHANIK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-551-8127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL. MEDICAL LICENSE",
            "identifier": "ME0053136",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.