J Lucas Koberda, MD, PHD, Neurology, LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

J LUCAS KOBERDA, MD, PHD, NEUROLOGY, LLC

Practice address

4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272

Phone

(850) 877-2802

Fax

(850) 222-1383

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jaroslaw Lucas Koberda

Title

Physician

Phone

(850) 877-2802

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John Harold Koonz, AUD

  • Audiologist-Hearing Aid Fitter
  • Tallahassee, FL
  • NPI 1740220987
  NPD (past)
• Rachel Loretta Spelz, AU.D.

  • Audiologist
  • Olympia, WA
  • NPI 1003592338
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1962447268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092272",
            "telephone_number": "850-877-2802",
            "fax_number": "850-222-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092272",
            "telephone_number": "850-877-2802",
            "fax_number": "850-222-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J LUCAS KOBERDA, MD, PHD, NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KOBERDA",
        "authorized_official_first_name": "JAROSLAW",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-877-2802",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timika Ivory
• Ivy Spine & Orthopedics, LLC
• Narayan Krishnamoorthy Iyer, M.D.
• Hitomi Izawa
• J H Harvey Co LLC
• J R F Chiropractic
• Raechel Lowe Jaap, LE, CME
• Safayeth Jabeen Isma
• Angela Jackson, APRN
• Anita Johnson Jackson

• Neurology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.