OPTIMA NEUROLOGICAL SERVICES (NPI# 1194950949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194950949 |
| Entity Type | Organization |
| Organization Name | OPTIMA NEUROLOGICAL SERVICES |
| Practice Address |
5318 Sw 91st Ter Suite B Gainesville FL 32608-8125 |
| Practice Telephone | 3523755553 |
| Practice Fax Number | 3525055506 |
| Mailing Telephone | 3523755553 |
| Mailing Fax Number | 3525055506 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |
| Authorized Official Name | JAMES CHRIS SACKELLARES (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 3523755553 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
ME0072689 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 373950300 | 05 |
| Street Address |
5318 SW 91ST TER SUITE B |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32608-8125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013954098 | Leston B Nay | Psychiatry & Neurology | 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608-8125 | 2006-05-31 |
| 1174807531 | Ayyamperumal Jeyaprakash | Spec/Tech, Pathology | 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608-8125 | 2011-10-04 |
| 1417065277 | James Chris Sackellares | Psychiatry & Neurology | 5318 Sw 91st Ter, Suite B, Gainesville, FL 32608-7150 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609426758 | Earlene Mae Anderson | Technician | 7770 Sw 47th Lane, Gainesville, FL 32608 | 2019-09-19 |
| 1588214720 | Jimmie Lee Crawford | Technician | 7427 Sw 63rd Terrace, Gainesville, FL 32608 | 2019-09-19 |
| 1306495346 | Lori Turbow | Technician | 2600 Sw Willingston Rd, Apt. 801, Gainesville, FL 32608 | 2019-09-11 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1669948097 | Eric Scott Traub | Genetic Counselor, MS | 1699 Sw 16th Avenue, Building A, Cms B2334, Gainesville, FL 32608 | 2018-10-24 |
| 1457834053 | Riverswarmingtouch LLC | Adult Companion | 2220 Sw 34th Street, Apt 125, Gainesville, FL 32608 | 2018-09-10 |
| 1811481252 | Anthony Farmer | Dentist | 3100 Sw 35th Pl Apt 18a, Gainesville, FL 32608 | 2018-06-19 |
| 1184112823 | Zoraida Vazquez | Early Intervention Provider Agency | 7117 Sw Archer Rd Lot 2121, Gainesville, FL 32608 | 2018-04-27 |
| 1942739214 | Brittany R Brown | Homemaker | 2908 Sw 38th Place, Gainesville, FL 32608 | 2017-06-08 |
| 1639605801 | Touch of Care,llc | Home Health | 6040 Sw 63rd Blvd, Gainesville, FL 32608 | 2017-05-10 |
| Find all providers in zip 32608 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662087 | Gainsville Allergy, Ent and Plastic Surgery | Clinic/Center | 1902 Hospital Blvd Ste C, Gainesville, TX 76240-2008 | 2015-10-27 |
| 1326256470 | John W Tyrone Md Pllc | Clinic/Center | 108 Nw 76th Dr Ste A, Ste F, Gainesville, FL 32607-6652 | 2007-05-21 |
| 1255951182 | Georgia Ketamine Renew | Clinic/Center | 1370 Thompson Bridge Rd Ste 101, Gainesville, GA 30501-1780 | 2020-04-21 |
| 1609316975 | Gainesville Medical Obesity Specialty Clinic LLC | Clinic/Center | 6830 Nw 11th Pl, Suite A, Gainesville, FL 32605-4254 | 2017-03-06 |
| 1437698917 | Lisa A Wirth, Md LLC | Clinic/Center | 500 Spring St Se, Suite 201, Gainesville, GA 30501-3773 | 2017-02-17 |
| 1780074831 | David C. Blumer, Md | Clinic/Center | 720 Sw 2nd Ave, Suite 204, Gainesville, FL 32601-6271 | 2015-01-28 |
| 1245580109 | North Florida Plastic Surgery Pllc | Clinic/Center | 108 Nw 76th Dr, Ste A, Gainesville, FL 32607-6652 | 2012-09-18 |
| 1982842605 | Allergy Asthma and Immunology Consultants Inc | Clinic/Center | 1173 Nw 64th Ter, Gainesville, FL 32605-4218 | 2009-02-03 |
| 1194991695 | Northeast Georgia Gynecology | Clinic/Center | 440 Washington St Se, Gainesville, GA 30501-3619 | 2008-05-05 |
| 1699961649 | Gainesville Gynecology, LLC | Clinic/Center | 1206a Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2007-09-23 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32608 |
Please comment or provide details below to improve the information on OPTIMA NEUROLOGICAL SERVICES.
| 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.