Organization Active NPI

Neurology& Neurosurgery Associates

  • Specialist
  • Winter Haven, FL
National Provider Identifier
1700839453
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEUROLOGY& NEUROSURGERY ASSOCIATES
Practice address
50 2ND St SE
Winter Haven, FL 33880-6300
Phone
(863) 293-2100
Fax
(863) 595-4227
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Dr. Juan L Joy, MD
Title
President
Phone
(863) 293-2100

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X FL Primary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X FL
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X FL

Addresses

Primary practice location

50 2ND St SE
Winter Haven, FL 33880-6300

Mailing address

50 2ND St SE
Winter Haven, FL 33880-6300
Phone (863) 293-2100

Other identifiers 2

IdentifierTypeStateIssuer
1700839453OtherFLNPI
370017800MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000318 FL Part B Supplier - Clinic/Group Practice 9537053947 Receives reassigned benefits from 7 practitioners
Practice locations: Lakeland, FL; Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

38251 Highway 27
Ste 8
Davenport, FL 33837
Phone (283) 353-2107

1325 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 577-1500

1325 Lakeland Hills Blvd
Ste 1
Lakeland, FL 33805

180 Avenue A SE
Winter Haven, FL 33880
Phone (863) 293-2107

Practitioners & affiliated clinicians

Practitioners 9

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": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1700839453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 2ND ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806300",
            "telephone_number": "863-293-2100",
            "fax_number": "863-595-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 2ND ST SE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338806300",
            "telephone_number": "863-293-2100",
            "fax_number": "863-595-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY& NEUROSURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "JOY",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-293-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700839453",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370017800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; 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.