NEUROSCIENCE AND SPINE ASSOCIATES, PL (NPI# 1003115825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003115825 |
| Entity Type | Organization |
| Organization Name | NEUROSCIENCE AND SPINE ASSOCIATES, PL |
| Other Organization Name | MRI LOCATION |
| Practice Address |
877 111th Ave N Naples FL 34108-1866 |
| Mailing Address |
3451 Pine Ridge Rd Bldg 601 Naples FL 34109-3922 |
| Practice Telephone | 2398777110 |
| Mailing Telephone | 2394493072 |
| Mailing Fax Number | 8773341886 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2020-09-21 |
| Authorized Official Name | CHERYL ANN LEACH (DIRECTOR, CREDENTIALING) |
| Authorized Official Telephone | 2394493072 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | FL | Allopathic & Osteopathic Physicians | |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | FL | Suppliers | |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MRI Location | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750684361 | Neuroscience and Spine Associates, Pl | Durable Medical Equipment & Medical Supplies | 8380 Riverwalk Park Blvd Ste 320, Fort Myers, FL 33919-8758 | 2010-12-21 |
| 1669756821 | Neuroscience and Spine Associates, Pl | Psychiatry & Neurology | 130 Tamiami Trl N, Suite 250, Naples, FL 34102-6224 | 2011-10-06 |
| 1922301530 | Neuroscience and Spine Associates, Pl | Durable Medical Equipment & Medical Supplies | 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 | 2010-12-21 |
| 1114220845 | Neuroscience and Spine Associates, Pl | Neurological Surgery | 6101 Pine Ridge Rd # Desk10, Naples, FL 34119-3900 | 2010-12-20 |
| 1669536645 | Neuroscience and Spine Associates, Pl | Pain Medicine | 130 Tamiami Trl N Ste 250, Naples, FL 34102-6233 | 2006-12-21 |
| Street Address |
877 111TH AVE N |
| City | NAPLES |
| State | FL |
| Zip Code | 34108-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427057462 | Joseph Kandel | Psychiatry & Neurology | 877 111th Ave N, Suite 1, Naples, FL 34108-1866 | 2005-07-20 |
| 1891804860 | Paul David Mabe | Dentist | 877 111th Ave N, Suite 3, Naples, FL 34108-1866 | 2006-08-30 |
| 1982659058 | Ronald A Olson | Ophthalmology | 877 111th Ave N, Unit 2, Naples, FL 34108-1866 | 2006-05-24 |
| 1083613996 | Jan Malat | Radiology | 877 111th Ave N, Suite 1, Naples, FL 34108-1866 | 2005-07-21 |
| 1629077508 | Igor Reis | Psychiatry & Neurology | 877 111th Ave N, Naples, FL 34108-1866 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417422262 | Alejandra Herrera Munoz | Occupational Therapist | 646 103rd Ave N, Naples, FL 34108 | 2018-10-08 |
| 1912402983 | Cvs Aoc Services, L.L.C. | Audiologist-Hearing Aid Fitter | 8863h Tamiami Trl N, Naples, FL 34108 | 2018-03-29 |
| 1861886863 | Zounds Hearing | Durable Medical Equipment & Medical Supplies | 9331 Tamiami Trail, Naples, FL 34108 | 2015-03-27 |
| 1750651220 | Dr. Alfonso Olivos, P.a. | Family Medicine | 873 101 Avenue N., Naples, FL 34108 | 2011-12-30 |
| 1083901367 | Gregory Alan Mazur | Podiatrist | 9915 Tamiami Trl N Ste 1, Naples, FL 34108 | 2011-07-07 |
| 1124253398 | G B Fisher IIi Do Pa | Ophthalmology | 875 105 Ave North, Naples, FL 34108 | 2009-05-18 |
| 1134378466 | Susanna Alis | Counselor | 9853 Tamiami Trl N Ste 227c, Naples, FL 34108 | 2008-09-10 |
| 1194995720 | William Nicholas Sullivan | Dentist | 6100 Trail Blvd North, Suite 1, Naples, FL 34108 | 2008-03-11 |
| 1285838219 | John Woolman Cox | Dermatology | 650 Bridgeway Lane, Naples, FL 34108 | 2007-06-13 |
| 1780888263 | Gerald Frank Levens | Family Medicine | 1175 Creekside Pkwy Ste 200, Naples, FL 34108 | 2007-06-11 |
| Find all providers in zip 34108 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770982068 | Integrative Brain Center | Psychiatry & Neurology | 1865 Veterans Park Dr Ste 202, Naples, FL 34109-0447 | 2014-08-22 |
| 1497043269 | Anton Coleman, Munch E. Backen, Pa | Psychiatry & Neurology | 3202 Serenity Ct, #102, Naples, FL 34114-9576 | 2011-07-14 |
| 1396758637 | Sharon Loretta Johnston | Psychiatry & Neurology | 599 9th Street North, Suite 307, Naples, FL 34102 | 2006-08-15 |
| 1194768317 | Neuroscience & Spine Associates | Psychiatry & Neurology | 877 111th Ave North, Suite 1, Naples, FL 34108 | 2006-06-14 |
| 1275583916 | William Andrew Justiz | Psychiatry & Neurology | 3200 Bailey Ln Ste 200, Naples, FL 34105-8523 | 2006-05-11 |
| 1194703363 | Eshan Malik Kibria | Psychiatry & Neurology | 5475 Golden Gate Pkwy Ste 4, Naples, FL 34116-7529 | 2006-01-06 |
| 1427057371 | Michael J Vickers | Psychiatry & Neurology | 1660 Medical Blvd Ste 200, Naples, FL 34110-1416 | 2005-07-21 |
| 1427057462 | Joseph Kandel | Psychiatry & Neurology | 877 111th Ave N, Suite 1, Naples, FL 34108-1866 | 2005-07-20 |
| 1265439269 | Jeffrey John Mccartney | Psychiatry & Neurology | 11190 Health Park Blvd, Naples, FL 34110-5729 | 2005-07-05 |
| 1316940976 | Ronald E Howard Jr. | Psychiatry & Neurology | 5671 Naples Blvd, Naples, FL 34109-2023 | 2005-05-27 |
| Find all providers in NAPLES | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.