Organization Active NPI

Neurology and Spine Center

  • Neurology Physician
  • Estero, FL
National Provider Identifier
1821313503
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY AND SPINE CENTER
Practice address
10201 Arcos Ave Ste 103
Estero, FL 33928-9460
Phone
(239) 949-9000
Fax
(239) 949-9020
NPI assigned
Apr 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Thomas C Morell, M.D.NPI 1285633156
Title
Owner
Phone
(239) 949-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

10201 Arcos Ave Ste 103
Estero, FL 33928-9460

Mailing address

PO Box 313
Estero, FL 33929-0313
Phone (239) 949-9000

Other identifiers 1

IdentifierTypeStateIssuer
DF607AOtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100714000752 FL Part B Supplier - Clinic/Group Practice 4587796313 Receives reassigned benefits from 1 practitioner
Practice locations: Estero, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2014195Neurology and Spine Center10201 Arcos Ave - #103, Estero, FL 33928Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

13650 Fiddlesticks Blvd
Ste 202225
Fort Myers, FL 33912

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/yM1TVbA1pYVBqAL5r6hrPXGVr5nFBJbP/

Practitioners & affiliated clinicians

Practitioners 1

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": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1821313503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339290313",
            "telephone_number": "239-949-9000",
            "fax_number": "239-949-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 ARCOS AVE STE 103",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339289460",
            "telephone_number": "239-949-9000",
            "fax_number": "239-949-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY AND SPINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "MORELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-949-9000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DF607A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.