Active NPI
Bay Area Neurology Consultants PL
- Clinical Neurophysiology Physician
- Dade City, FL
National Provider Identifier
1669639183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- ME90347
- Legal business name
- BAY AREA NEUROLOGY CONSULTANTS PL
- Practice address
- 13417 US Highway 301
Dade City, FL 33525-5446 - Phone
- (352) 567-7364
- Fax
- (352) 567-7394
- NPI assigned
- May 21, 2008
- 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
- Allauddin Khan, M.D.
- Title
- Ceo
- Phone
- (352) 567-7364
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neurophysiology Physician | 2084N0600X | ME90347 | FL | Primary |
Addresses
Primary practice location
13417 US Highway 301
Dade City, FL 33525-5446
Mailing address
13417 US Highway 301
Dade City, FL 33525-5446
Phone (352) 567-7364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neurophysiology Physician
- Zephyrhills, FL
- NPI 1205882073
-
- Neurology Physician
- Zephyrhills, FL
- NPI 1336241892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220313600000",
"number": "1669639183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13417 US HIGHWAY 301",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255446",
"telephone_number": "352-567-7364",
"fax_number": "352-567-7394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13417 US HIGHWAY 301",
"city": "DADE CITY",
"state": "FL",
"postal_code": "335255446",
"telephone_number": "352-567-7364",
"fax_number": "352-567-7394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY AREA NEUROLOGY CONSULTANTS PL",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-21",
"last_updated": "2008-09-02",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ALLAUDDIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "352-567-7364",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "FL",
"license": "ME90347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dade City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; 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.