BAY AREA NEUROLOGY CONSULTANTS PL (NPI# 1669639183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669639183 |
| Entity Type | Organization |
| Organization Name | BAY AREA NEUROLOGY CONSULTANTS PL |
| Practice Address |
13417 Us Highway 301 Dade City FL 33525-5446 |
| Practice Telephone | 3525677364 |
| Practice Fax Number | 3525677394 |
| Mailing Telephone | 3525677364 |
| Mailing Fax Number | 3525677394 |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-09-02 |
| Authorized Official Name | ALLAUDDIN KHAN (CEO) |
| Authorized Official Telephone | 3525677364 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
ME90347 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
13417 US HIGHWAY 301 |
| City | DADE CITY |
| State | FL |
| Zip Code | 33525-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669417143 | Mazen A Abboud | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2006-06-18 |
| 1639572373 | Susan J Gibbs | Nurse Practitioner | 13417 Us Highway 301, Ste B, Dade City, FL 33525-5446 | 2014-10-08 |
| 1659614162 | Joseph Michael Genualdi Jr. | Podiatrist | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-04-03 |
| 1740522754 | Florida Medical Clinic LLC | Clinic/Center | 13417 Us Highway 301, Suite B, Dade City, FL 33525-5446 | 2013-03-18 |
| 1326310780 | Felicia Seal | Social Worker | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2012-02-01 |
| 1457689275 | Danielle Williamson | Nurse Practitioner | 13417 Us Highway 301, Suite D, Dade City, FL 33525-5446 | 2009-12-07 |
| 1790949113 | Camille Nancy Anise | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-07-15 |
| 1447417076 | Joan E Heitzler | Nurse Practitioner | 13417 Us Highway 301, Ste. A, Dade City, FL 33525-5446 | 2008-05-21 |
| 1326215641 | Church Street Medical Center | Internal Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2008-05-15 |
| 1548375876 | Anthony Esposito | Family Medicine | 13417 Us Highway 301, Dade City, FL 33525-5446 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548735772 | Medical Risk Solutions | Family Medicine | 38503 Centennial Road, Dade City, FL 33525 | 2018-10-03 |
| 1629593280 | Kiria Cuevas | Pharmacist | 11830 Us-301, Dade City, FL 33525 | 2017-08-04 |
| 1477005452 | Nancy T Mathew | Nurse Practitioner | 9834 Pine Leaf Lane, Dade City, FL 33525 | 2016-10-26 |
| 1720470933 | Jackalynne Burns | Behavioral Analyst | 11820 Munbury Dr, Dade City, FL 33525 | 2015-02-25 |
| 1497146781 | Bridgett Crews | Case Manager/Care Coordinator | 9315 Handcart Rd., Dade City, FL 33525 | 2015-02-09 |
| 1437457389 | Shannon Clarke Korst | Massage Therapist | 11045 Old Lakeland Hwy, Dade City, FL 33525 | 2011-03-02 |
| 1689907420 | Gladys Borges | Nutritionist | 13941 15th Street, Pchd Wic & Nutrition Services, Dade City, FL 33525 | 2009-09-11 |
| 1730412628 | Veekas Patel | Pharmacist | 12715 Hwy 301, Dade City, FL 33525 | 2009-09-10 |
| 1376765347 | Linda F Elmore | Technician, Other | 12649 Us Hwy 301, Dade City, FL 33525 | 2007-05-02 |
| 1417086190 | Marta M Velasquez | Pharmacist | 12649 Hwy 301, Dade City, FL 33525 | 2007-03-05 |
| Find all providers in zip 33525 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879364 | Emerald Intraoperative Neuromonitoring, LLC | Psychiatry & Neurology | 7643 Gate Pkwy # 104-983, Jacksonville, FL 32256-2893 | 2020-07-28 |
| 1457722928 | Lobar Medical Pa | Psychiatry & Neurology | 24044 Integrity Way, Sorrento, FL 32776-9353 | 2015-10-09 |
| 1154671022 | Arthur J. Pedregal Md Pa | Psychiatry & Neurology | 4710 N Habana Ave Ste 303, Tampa, FL 33614-7151 | 2012-09-18 |
| 1316246796 | Doctors Neurological Services of Ft Lauderdale Inc | Psychiatry & Neurology | 1452 N Us Highway 1, Suite 103, Ormond Beach, FL 32174-6638 | 2011-03-24 |
| 1326343625 | Ellen I Edgar | Psychiatry & Neurology | 26 Diplomat Pkwy, Ste Cu-3, Hallandale Beach, FL 33009-3721 | 2011-01-18 |
| 1992962161 | Sergio Levi-minzi | Psychiatry & Neurology | 805 Niemen Dr, Palm Beach Gardens, FL 33410-2161 | 2008-05-16 |
| 1184672701 | Damon R Salzman | Psychiatry & Neurology | 12596 Pines Blvd, Pembroke Pines, FL 33027-1766 | 2006-05-05 |
| 1972569291 | Edwin Nelson Peguero Rivera | Psychiatry & Neurology | 4714 N Armenia Ave Ste 202, Tampa, FL 33603-2603 | 2006-04-25 |
| 1821647769 | Neuroclinics, LLC | Psychiatry & Neurology | 9360 Sw 72nd St, Ste 205b, Miami, FL 33173 | 2019-09-04 |
| 1437688033 | Partners Neurodiagnostics LLC | Psychiatry & Neurology | 4726 N Habana Ave Ste 100, Tampa, FL 33614-7144 | 2017-06-07 |
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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.