The Headache and Neurology Clinic PA

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

ME92671 Issued in FL

Legal business name

THE HEADACHE AND NEUROLOGY CLINIC PA

Practice address

11373 Cortez Blvd Ste 303
303
Brooksville, FL 34613-5411

Phone

(352) 596-8344

Fax

(352) 597-2898

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Qahtan Abdulfattah, MDNPI 1558370411

Title

President

Phone

(352) 596-8344

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Qahtan A Abdulfattah, MD

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Brooksville, FL
  • NPI 1558370411
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1770614786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 303",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135411",
            "telephone_number": "352-596-8344",
            "fax_number": "352-597-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11373 CORTEZ BLVD STE 303",
            "address_2": "303",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346135411",
            "telephone_number": "352-596-8344",
            "fax_number": "352-597-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEADACHE AND NEUROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "ABDULFATTAH",
        "authorized_official_first_name": "QAHTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-596-8344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "FL",
            "license": "ME92671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER'S INDIVIDUAL NPI",
            "identifier": "1558370411",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terrell B. Bounds MD.,PA
• David A Terschluse, MD
• Neami Tervil, DO
• The Arc Nature Coast Inc
• The Grande, LLC
• The School Board of Hernando County
• The School Board of Hernando County
• The School Board of Hernando County
• The School Board of Hernando County
• The School Board of Hernando County

• Neuromusculoskeletal Medicine & OMM Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.