Active NPI
Neurology and Spine Center
- Neurology Physician
- Estero, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas C Morell, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DF607A | Other | FL | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2014195 | Neurology and Spine Center | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
13650 Fiddlesticks Blvd
Ste 202225
Fort Myers, FL 33912
Interoperability endpoints
- 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.