| Baptist Neurology Inc | |
|
2736 University Blvd W Suite 3 Jacksonville FL 32217-2179 | |
| (904) 733-4262 | |
| (904) 636-5786 |
| Full Name | Baptist Neurology Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2736 University Blvd W, Jacksonville, Florida |
| Authorized Official Name and Position | Earl B Mally (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 9043764275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Neurology Inc Po Box 41113 Jacksonville FL 32203-1113 Ph: (904) 376-4400 | Baptist Neurology Inc 2736 University Blvd W Suite 3 Jacksonville FL 32217-2179 Ph: (904) 733-4262 |
| NPI Number | 1578795241 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 06/25/2010 |
| Medicare PECOS PAC ID | 0345366704 |
|---|---|
| Medicare Enrollment ID | O20100923000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578795241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Maya N Stamboliyska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649266982 PECOS PAC ID: 3577556000 Enrollment ID: I20040923000743 |
| Provider Name | Megan Regina Weigel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609968163 PECOS PAC ID: 8325009285 Enrollment ID: I20041023000144 |
| Provider Name | Timothy D Lucey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811057318 PECOS PAC ID: 9032284799 Enrollment ID: I20080815000198 |
| Provider Name | Dennis D Dewey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538140371 PECOS PAC ID: 1153373006 Enrollment ID: I20100201000076 |
| Provider Name | Christopher G Potter |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043207657 PECOS PAC ID: 4082758305 Enrollment ID: I20100224000229 |
| Provider Name | Thomas M Snyder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750378311 PECOS PAC ID: 3173544970 Enrollment ID: I20100312000472 |
| Provider Name | Amy Toenjes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457334906 PECOS PAC ID: 6608905096 Enrollment ID: I20100524000288 |
| Provider Name | Dorothy D Adair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639392699 PECOS PAC ID: 0042340382 Enrollment ID: I20100611000547 |
| Provider Name | Kalina M Sanders |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487704953 PECOS PAC ID: 4587788575 Enrollment ID: I20100827000226 |
| Provider Name | Kimberly A Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053553974 PECOS PAC ID: 7911190988 Enrollment ID: I20101022000210 |
| Provider Name | Steven A Toenjes |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1679585764 PECOS PAC ID: 2163616145 Enrollment ID: I20101103001061 |
| Provider Name | James Cook |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1558359943 PECOS PAC ID: 1254374549 Enrollment ID: I20110511000318 |
| Provider Name | Youssef Nejjar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689834459 PECOS PAC ID: 8921131673 Enrollment ID: I20110811000446 |
| Provider Name | Nitin S Butala |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740483882 PECOS PAC ID: 7517137706 Enrollment ID: I20110825000445 |
| Provider Name | Maria I Hella |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003903949 PECOS PAC ID: 0648442582 Enrollment ID: I20111018000762 |
| Provider Name | Zhigao Huang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861461964 PECOS PAC ID: 3577738376 Enrollment ID: I20111206000591 |
| Provider Name | Lateya Foxx |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023329372 PECOS PAC ID: 0648498105 Enrollment ID: I20140825001321 |
| Provider Name | Jason Shaun Day |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427205038 PECOS PAC ID: 3072647197 Enrollment ID: I20141107002066 |
| Provider Name | Arena M Chaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215357314 PECOS PAC ID: 7012139694 Enrollment ID: I20141114001647 |
| Provider Name | Kristin S Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407258114 PECOS PAC ID: 4587986583 Enrollment ID: I20141203002214 |
| Provider Name | Devanshi Mody |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538470257 PECOS PAC ID: 9638493158 Enrollment ID: I20151106000930 |
| Provider Name | Bryan D Riggeal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104023308 PECOS PAC ID: 9638347719 Enrollment ID: I20160906001809 |
| Provider Name | Meredith M Brainard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912455981 PECOS PAC ID: 0840578597 Enrollment ID: I20161031002047 |
| Provider Name | Steven B Dawson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578605259 PECOS PAC ID: 9537178348 Enrollment ID: I20170103001508 |
| Provider Name | Candice W Riggeal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1316104722 PECOS PAC ID: 0648405902 Enrollment ID: I20170104001134 |
| Provider Name | Sunil M Chauhan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912922881 PECOS PAC ID: 5698705408 Enrollment ID: I20170908000633 |
| Provider Name | Scott M Dellorso |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255694667 PECOS PAC ID: 0345534400 Enrollment ID: I20170925000342 |
| Provider Name | Anna V Rosenbaum |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417116559 PECOS PAC ID: 9032353008 Enrollment ID: I20180216001096 |
| Provider Name | Brin E Freund |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1093151813 PECOS PAC ID: 8224338389 Enrollment ID: I20190226002553 |
| Provider Name | Caitlin E D'souza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1174933147 PECOS PAC ID: 4183843022 Enrollment ID: I20191004002390 |
| Provider Name | Cory D Lamar |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1740469030 PECOS PAC ID: 5991952046 Enrollment ID: I20191211000553 |
| Provider Name | Christiner Elizabeth Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144869611 PECOS PAC ID: 2961838107 Enrollment ID: I20200205003011 |
| Provider Name | Pouya Shooliz |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508228529 PECOS PAC ID: 2062708043 Enrollment ID: I20200714000198 |
| Provider Name | Michael A Gebel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184625329 PECOS PAC ID: 0446328298 Enrollment ID: I20200724000096 |
| Provider Name | Abhishek Lunagariya |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336582030 PECOS PAC ID: 2961629753 Enrollment ID: I20200915001034 |
| Provider Name | Lyndsey Jean Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942773106 PECOS PAC ID: 6406256692 Enrollment ID: I20210609001957 |
| Provider Name | Mohan Prabu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104021062 PECOS PAC ID: 5799929535 Enrollment ID: I20210728003101 |
| Provider Name | Ashley R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548892441 PECOS PAC ID: 1355771031 Enrollment ID: I20210825000242 |
| Provider Name | Atrac A Kay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811188006 PECOS PAC ID: 4981849908 Enrollment ID: I20220505002476 |
| Provider Name | Michelle Nunes Caravaglio |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1992245450 PECOS PAC ID: 1557743945 Enrollment ID: I20220802000646 |
| Provider Name | Nidhi Kapoor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255771465 PECOS PAC ID: 0143598177 Enrollment ID: I20220910000446 |
| Provider Name | Michael S Todinca |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770016800 PECOS PAC ID: 7719353937 Enrollment ID: I20221013000304 |
| Provider Name | Ahsan Zaki Niazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245737642 PECOS PAC ID: 6406107655 Enrollment ID: I20221115000980 |
| Provider Name | Victor Vahid Lami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073969523 PECOS PAC ID: 4183055478 Enrollment ID: I20230109000393 |
| Provider Name | Roberta S Santos |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285138750 PECOS PAC ID: 8921467382 Enrollment ID: I20230703000132 |
| Provider Name | Barbara M Decker |
|---|---|
| Provider Type | Practitioner - Epileptologists |
| Provider Identifiers | NPI Number: 1275951022 PECOS PAC ID: 1658672555 Enrollment ID: I20230713001293 |
| Provider Name | Nirali H Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033890884 PECOS PAC ID: 2860847597 Enrollment ID: I20231016001258 |
| Provider Name | Dominika Lozowska |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1154552396 PECOS PAC ID: 2466763339 Enrollment ID: I20240122001582 |
| Provider Name | John D Clark |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235166943 PECOS PAC ID: 2860468469 Enrollment ID: I20240719002468 |
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