Beaches Neurology Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BEACHES NEUROLOGY CLINIC

Practice address

1370 13TH Ave S Ste 215
Jacksonville Beach, FL 32250-3206

Phone

(904) 249-1041

Fax

(904) 249-9764

NPI assigned

May 31, 2006

Last updated

Nov 20, 2007By 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

Thomas Snyder, MDNPI 1750378311

Title

President

Phone

(904) 249-1041

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Thomas M Snyder, MD

  • Neurology Physician
  • Jacksonville Beach, FL
  • NPI 1750378311
  NPD (past) Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1932146875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17809",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322457809",
            "telephone_number": "904-723-5665",
            "fax_number": "904-338-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 13TH AVE S STE 215",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503206",
            "telephone_number": "904-249-1041",
            "fax_number": "904-249-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES NEUROLOGY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-249-1041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "45912",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beaches Eye Center, PA
• Beaches Facial and Nasal Surgery Center
• Beaches Family Medicine PA
• Beaches Healthcare, P.a.
• Beaches Nature Therapy LLC
• Beaches Open MRI, LLC
• Beaches Oral Maxillofacial Surgery, PLLC
• Beaches Recovery Services LLC
• Beaches Therapy LLC (Audrey Roach-Slivinski, LCSW)
• Beachside Primary Care LLC

• Specialist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.