Organization Active NPI

Inpatient Hospital Neurologists PA

  • Neurology Physician
  • Windermere, FL
National Provider Identifier
1811067150
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME82452 Issued in FL
Legal business name
INPATIENT HOSPITAL NEUROLOGISTS PA
Practice address
13506 Summerport Village Pkwy
#413
Windermere, FL 34786-7366
Phone
(407) 905-4997
Fax
(407) 876-9808
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Evan Allen, MD
Title
President Owner
Phone
(407) 905-4997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X ME82452 FL Primary

Addresses

Primary practice location

13506 Summerport Village Pkwy
#413
Windermere, FL 34786-7366

Mailing address

PO Box 741240
Orange City, FL 32774-1240
Phone (386) 774-5211

Other identifiers 3

IdentifierTypeStateIssuer
262555500MedicaidFL
58985OtherFLBCBSFL
DC4472OtherFLRAILROAD MEDICARE

Other names 1

  • Evan Allen MD Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1811067150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741240",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327741240",
            "telephone_number": "386-774-5211",
            "fax_number": "386-774-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13506 SUMMERPORT VILLAGE PKWY",
            "address_2": "#413",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347867366",
            "telephone_number": "407-905-4997",
            "fax_number": "407-876-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INPATIENT HOSPITAL NEUROLOGISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "407-905-4997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME82452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262555500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "58985",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4472",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evan Allen MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Windermere, FL

Sources for this page

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

Verify at the official NPI Registry.