Active NPI
Neurology & Pain Center Inc
- Neurology Physician
- Sarasota, FL
National Provider Identifier
1710136064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME43369
- Legal business name
- NEUROLOGY & PAIN CENTER INC
- Practice address
- 8451 Shade Ave
Ste 108
Sarasota, FL 34243-2878 - Phone
- (941) 360-1030
- Fax
- (941) 360-1202
- NPI assigned
- Sep 11, 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
- Troy A Wubbena, PA-C, PHD
- Title
- President
- Phone
- (813) 388-6632
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Neuroimaging (Psychiatry & Neurology) Physician | 2084D0003X | ME43369 | FL | |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | ME43369 | FL | |
| Neurology Physician | 2084N0400X | ME43369 | FL | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | ME43369 | FL | |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | ME43369 | FL | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | ME43369 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9104389 | FL |
Addresses
Primary practice location
8451 Shade Ave
Ste 108
Sarasota, FL 34243-2878
Mailing address
8451 Shade Ave
Ste 108
Sarasota, FL 34243-2878
Phone (941) 360-1030
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1710136064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8451 SHADE AVE",
"address_2": "STE 108",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432878",
"telephone_number": "941-360-1030",
"fax_number": "941-360-1202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8451 SHADE AVE",
"address_2": "STE 108",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342432878",
"telephone_number": "941-360-1030",
"fax_number": "941-360-1202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY & PAIN CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-11",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "WUBBENA",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "813-388-6632",
"authorized_official_credential": "PA-C, PHD"
},
"taxonomies": [
{
"code": "2084D0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Diagnostic Neuroimaging",
"state": "FL",
"license": "ME43369",
"primary": false
},
{
"code": "2084N0008X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neuromuscular Medicine",
"state": "FL",
"license": "ME43369",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME43369",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "FL",
"license": "ME43369",
"primary": false
},
{
"code": "2084P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "FL",
"license": "ME43369",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "FL",
"license": "ME43369",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104389",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
- William M Neunder
- Neuro Rehab Services
- Neuro Trauma Centers, LLC
- Neurobehavioral Medicine Centre of Sarasota, Inc.
- Neurointernational Healthcare, LLC
- Neuromuscular Therapy Center Inc
- Neuropsychology and Behavioral Health Assoicates, PA.
- Neuropsychology Health Center, PLLC
- Neuroscience Collaborative, LLC
- Neurosurgery & Spine Specialists
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.