American Neurology and Radiology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME30779 Issued in FL

Legal business name

AMERICAN NEUROLOGY AND RADIOLOGY PA

Practice address

301 Yamato Rd Ste 1100
Boca Raton, FL 33431-4901

Phone

(877) 302-9070

NPI assigned

Jun 28, 2012

Last updated

Jun 28, 2012By 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

Russell Packard, MD

Title

Owner

Phone

(877) 302-9070

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1912261561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD STE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314901",
            "telephone_number": "877-302-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 YAMATO RD STE 1100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314901",
            "telephone_number": "877-302-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN NEUROLOGY AND RADIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-302-9070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME30779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.