NPIMap

Organization Active NPI

Palma Sola Neurology Associates

  • Neurology Physician
  • Bradenton, FL
National Provider Identifier
1922510379
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME72170 Issued in FL
Legal business name
PALMA SOLA NEUROLOGY ASSOCIATES
Practice address
2902 59TH St W Ste D
Bradenton, FL 34209-7021
Phone
(941) 877-7007
Fax
(941) 238-9119
NPI assigned
Oct 25, 2017
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Dr. Sanjay Yathiraj, MDNPI 1508851718
Title
Neurologist
Phone
(941) 877-7007

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 Physician 2084N0400X ME72170 FL Primary

Addresses

Primary practice location

2902 59TH St W Ste D
Bradenton, FL 34209-7021

Mailing address

PO Box 14675
Bradenton, FL 34280-4675
Phone (941) 877-7007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180205000120 FL Part B Supplier - Clinic/Group Practice 8527328947 Receives reassigned benefits from 5 practitioners
Practice locations: Bradenton, FL

National Provider Directory

National Provider Directory

Locations

2902 59th St W
Ste D
Bradenton, FL 34209
Phone (941) 877-7007

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDBBD

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1922510379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14675",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342804675",
            "telephone_number": "941-877-7007",
            "fax_number": "941-238-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 59TH ST W STE D",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342097021",
            "telephone_number": "941-877-7007",
            "fax_number": "941-238-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMA SOLA NEUROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "YATHIRAJ",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "NEUROLOGIST",
        "authorized_official_telephone_number": "941-877-7007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME72170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.