Space Coast Neurology and Pain Management PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0072245 Issued in FL

Legal business name

SPACE COAST NEUROLOGY AND PAIN MANAGEMENT PA

Practice address

4951 Babcock St NE
Suite 1
Palm Bay, FL 32905-2821

Phone

(321) 984-7997

Fax

(321) 984-7935

NPI assigned

Dec 18, 2006

Organization subpart

No

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

Authorized official

Name

Masood Hashmi, MD

Title

Owner

Phone

(321) 984-7997

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James A Wolcott, CRNA ARNP

  • Certified Registered Nurse Anesthetist
  • Sebastian, FL
  • NPI 1558421339
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1942363395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 BABCOCK ST NE",
            "address_2": "SUITE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052821",
            "telephone_number": "321-984-7997",
            "fax_number": "321-984-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 BABCOCK ST NE",
            "address_2": "SUITE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052821",
            "telephone_number": "321-984-7997",
            "fax_number": "321-984-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE COAST NEUROLOGY AND PAIN MANAGEMENT PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "HASHMI",
        "authorized_official_first_name": "MASOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-984-7997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0072245",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ARNP 9203833",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269085300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Space Coast Center for Sexual Health LLC
• Space Coast Chiropractic & Acupuncture
• Space Coast Eye Care Inc.
• Space Coast Hospitalists LLC
• Space Coast Medical Management LLC
• Space Coast Podiatry LLC
• Space Coast Total Health Care
• Spacecoast Wound Specialist LLC
• Beverley W. Spalding, ARNP
• James Spanogle

• Specialist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.