Organization Active NPI

East Shore Neurology PA

  • Specialist
  • Melbourne, FL
National Provider Identifier
1649442047
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME89447 Issued in FL
Legal business name
EAST SHORE NEUROLOGY PA
Practice address
2571 W Eau Gallie Blvd Ste 4
Melbourne, FL 32935-8302
Phone
(321) 757-7776
Fax
(321) 757-7343
NPI assigned
Mar 26, 2008
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Diana Skirk, M.DNPI 1841248887
Title
Doctor
Phone
(321) 757-7776

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
Specialist 174400000X ME89447 FL Primary

Addresses

Primary practice location

2571 W Eau Gallie Blvd Ste 4
Melbourne, FL 32935-8302

Mailing address

2571 W Eau Gallie Blvd Ste 4
Melbourne, FL 32935-8302
Phone (321) 757-7776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928000823 FL Part B Supplier - Clinic/Group Practice 0648249573 Receives reassigned benefits from 1 practitioner
Practice locations: Melbourne, FL

National Provider Directory

National Provider Directory

Locations

2571 W Eau Gallie Blvd
Melbourne, FL 32935
Phone (800) 481-8260

2571 W Eau Gallie Blvd
Ste 4
Melbourne, FL 32935
Phone (321) 757-7541

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1649442047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 W EAU GALLIE BLVD STE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358302",
            "telephone_number": "321-757-7776",
            "fax_number": "321-757-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 W EAU GALLIE BLVD STE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358302",
            "telephone_number": "321-757-7776",
            "fax_number": "321-757-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SHORE NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "SKIRK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "321-757-7776",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME89447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.