Jacksonville Neurological Clinic, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

JACKSONVILLE NEUROLOGICAL CLINIC, P.A.

Practice address

1895 Kingsley Ave Ste 805
Orange Park, FL 32073-4410

Phone

(904) 276-2220

Fax

(904) 276-2578

NPI assigned

May 31, 2006

Last updated

Nov 20, 2007By 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

Dennis Dewey, MDNPI 1538140371

Title

President

Phone

(904) 276-2220

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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.

• Dennis D Dewey, MD

  • Neurology Physician
  • Fleming Island, FL
  • NPI 1538140371
  NPD (past) Authorized official
• Victor A Maquera, MD

  • Neurology Physician
  • Orange Park, FL
  • NPI 1891786059
  NPD (past)
• Arastoo T Nabizadeh, MD

  • Neurology Physician
  • Jacksonville, FL
  • NPI 1730176348
  NPD (past)
• Megan Regina Weigel, DNP, ARNP-C

  • Family Nurse Practitioner
  • Jacksonville, FL
  • NPI 1609968163
  NPD (past)
• William Noran, MD

  • Neurology Physician
  • Lake Toxaway, NC
  • NPI 1386699593
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1710934930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-0015",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 KINGSLEY AVE STE 805",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734410",
            "telephone_number": "904-276-2220",
            "fax_number": "904-276-2578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSONVILLE NEUROLOGICAL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DEWEY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-276-2220",
        "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": "BCBS",
            "identifier": "00506",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF1455",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacksonville Injury & Rehab
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• Jacksonville Medical Group, LLC
• Jacksonville Ms and Neurology Center, P.a.
• Jacksonville Multispecialty Services, LLC (First Coast Orthopedics)
• Jacksonville Outpatient Surgery Center, LLC
• Radim Jacob
• Jai Mataji LLC (We Care Mobility Medical Supplies)
• James S. Trimble, M.D. P.a. (Dermatology and Laser Center)
• Bridgenett James-Barrie, DSW, MSW, LCSW

• Specialist in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.