| Neurology Associates Of Charlotte County | |
|
3067 Tamiami Trl Ste 2 Port Charlotte FL 33952-6619 | |
| (941) 225-8351 | |
| (941) 258-3519 |
| Full Name | Neurology Associates Of Charlotte County |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3067 Tamiami Trl Ste 2, Port Charlotte, Florida |
| Authorized Official Name and Position | Kristina Music (DR, PROV ENROLLMENT & ONBOARDING) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurology Associates Of Charlotte County Po Box 689022 Franklin TN 37068-9022 Ph: (615) 465-7211 | Neurology Associates Of Charlotte County 3067 Tamiami Trl Ste 2 Port Charlotte FL 33952-6619 Ph: (941) 225-8351 |
| NPI Number | 1003985573 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/09/2023 |
| Medicare PECOS PAC ID | 8729187901 |
|---|---|
| Medicare Enrollment ID | O20070629000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003985573 | NPI | - | NPPES |
| 278507205 | Medicaid | FL |
| Provider Name | Abdel H Elhoushy |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1548210305 PECOS PAC ID: 0840103065 Enrollment ID: I20031112000420 |
| Provider Name | Michael A Binford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639110125 PECOS PAC ID: 9537066337 Enrollment ID: I20031222000038 |
| Provider Name | Anthony T Perrin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124003546 PECOS PAC ID: 0042119141 Enrollment ID: I20040116000385 |
| Provider Name | Luis A Casanova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841297942 PECOS PAC ID: 9234023748 Enrollment ID: I20040213000204 |
| Provider Name | John A Galat |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1326079674 PECOS PAC ID: 3779475595 Enrollment ID: I20040326000771 |
| Provider Name | Ena C Casanova |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447257548 PECOS PAC ID: 2365432424 Enrollment ID: I20040514000223 |
| Provider Name | Nader A Zaidi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275613846 PECOS PAC ID: 9335139872 Enrollment ID: I20041110001151 |
| Provider Name | Nasser Razack |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1225141328 PECOS PAC ID: 3375574668 Enrollment ID: I20050826000090 |
| Provider Name | Sovi Joseph |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376626937 PECOS PAC ID: 8224137260 Enrollment ID: I20070929000064 |
| Provider Name | Amy Mellor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487714770 PECOS PAC ID: 7911083621 Enrollment ID: I20080320000484 |
| Provider Name | Jeffrey Carlson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205831880 PECOS PAC ID: 1759418981 Enrollment ID: I20100420000949 |
| Provider Name | Ricky Phillip Leff |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558380642 PECOS PAC ID: 1951439827 Enrollment ID: I20100513000724 |
| Provider Name | Charlene Q. Okomski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588625644 PECOS PAC ID: 0143291476 Enrollment ID: I20101117001000 |
| Provider Name | Ruben Guzman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1316051881 PECOS PAC ID: 4486846813 Enrollment ID: I20110223000582 |
| Provider Name | Ettore Crimi |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1891821211 PECOS PAC ID: 0840478970 Enrollment ID: I20110620000661 |
| Provider Name | Wing C Yeen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1447474861 PECOS PAC ID: 5991842221 Enrollment ID: I20110726000172 |
| Provider Name | Aimee Young |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801006168 PECOS PAC ID: 5395882591 Enrollment ID: I20110817000851 |
| Provider Name | Areej Salem |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174658710 PECOS PAC ID: 5092801506 Enrollment ID: I20120410000423 |
| Provider Name | Kelly A Legge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679820633 PECOS PAC ID: 5092965103 Enrollment ID: I20121026000316 |
| Provider Name | Rozales Antonio Swanson |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1932174349 PECOS PAC ID: 0244423283 Enrollment ID: I20130820000659 |
| Provider Name | Harsh Vardhan Duphare |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598775611 PECOS PAC ID: 1456398841 Enrollment ID: I20130919000417 |
| Provider Name | Geoffrey Joseph Roelant |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1720247257 PECOS PAC ID: 9133363849 Enrollment ID: I20130919000466 |
| Provider Name | D-ann Weller Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124013362 PECOS PAC ID: 3476522962 Enrollment ID: I20140210001684 |
| Provider Name | Adrian Roznowski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003081472 PECOS PAC ID: 2961639109 Enrollment ID: I20140703001715 |
| Provider Name | Simon Grinshteyn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841589173 PECOS PAC ID: 0749412575 Enrollment ID: I20140912001339 |
| Provider Name | Valerie Ruth Anne Dorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861511750 PECOS PAC ID: 2668691908 Enrollment ID: I20140918000277 |
| Provider Name | Anthony Kam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1740376383 PECOS PAC ID: 4880767797 Enrollment ID: I20141210002430 |
| Provider Name | John S Anastasi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1285691113 PECOS PAC ID: 2163466376 Enrollment ID: I20151023000789 |
| Provider Name | Mohi Mitiek |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1154643039 PECOS PAC ID: 4082742234 Enrollment ID: I20160105001449 |
| Provider Name | Eileen C De Grandis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336379478 PECOS PAC ID: 4082809165 Enrollment ID: I20160711001074 |
| Provider Name | Geoffrey M Fraiche |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982892816 PECOS PAC ID: 3870762800 Enrollment ID: I20160817001799 |
| Provider Name | Laura A Webb |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578871471 PECOS PAC ID: 6103123906 Enrollment ID: I20161015000141 |
| Provider Name | Jennifer D'abarno |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184604035 PECOS PAC ID: 5092842419 Enrollment ID: I20161213002602 |
| Provider Name | Luis Dibos |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1679577639 PECOS PAC ID: 7618032269 Enrollment ID: I20170420002556 |
| Provider Name | Winston W Thomas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467576330 PECOS PAC ID: 2163515925 Enrollment ID: I20170428000316 |
| Provider Name | Arie Blitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1629096011 PECOS PAC ID: 2567423544 Enrollment ID: I20171102003325 |
| Provider Name | Kelly Anne Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235657552 PECOS PAC ID: 8224395215 Enrollment ID: I20171129002211 |
| Provider Name | Hernan G Fuentes Figueroa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346213949 PECOS PAC ID: 4183650534 Enrollment ID: I20180221000316 |
| Provider Name | Sukdai Mangru |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1720174352 PECOS PAC ID: 5799030094 Enrollment ID: I20180608001034 |
| Provider Name | Stephanie E Finley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811283757 PECOS PAC ID: 1557677283 Enrollment ID: I20181130000671 |
| Provider Name | Renee M Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679730303 PECOS PAC ID: 1951463017 Enrollment ID: I20190411001918 |
| Provider Name | Bridgett V Donalson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063980647 PECOS PAC ID: 5991046229 Enrollment ID: I20190412002155 |
| Provider Name | Domenico Calcaterra |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1003018250 PECOS PAC ID: 6406914076 Enrollment ID: I20190918002348 |
| Provider Name | Laura Frances Hollenbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932754868 PECOS PAC ID: 7416289418 Enrollment ID: I20191024000261 |
| Provider Name | Eeka Wendella Marshall |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376856724 PECOS PAC ID: 1658598545 Enrollment ID: I20200108002109 |
| Provider Name | Marim A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487289997 PECOS PAC ID: 7315375508 Enrollment ID: I20200323000921 |
| Provider Name | Narongsak Boonswang |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821015652 PECOS PAC ID: 9739184169 Enrollment ID: I20200609001565 |
| Provider Name | Mohan R Sarabu |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1922048222 PECOS PAC ID: 7618940354 Enrollment ID: I20210115002055 |
| Provider Name | John D Dewalt |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508869702 PECOS PAC ID: 2062475098 Enrollment ID: I20210216000982 |
| Provider Name | Christina Milo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265024731 PECOS PAC ID: 1254730450 Enrollment ID: I20210520000190 |
| Provider Name | Michelle Deschamplain |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1952510299 PECOS PAC ID: 0840314969 Enrollment ID: I20210525001537 |
| Provider Name | Richard Y Highbloom |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1417984311 PECOS PAC ID: 2365461688 Enrollment ID: I20210812003977 |
| Provider Name | Caroline Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568035053 PECOS PAC ID: 4385049899 Enrollment ID: I20210823000075 |
| Provider Name | Nikalesh Reddy |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1619280534 PECOS PAC ID: 6204001357 Enrollment ID: I20211027001817 |
| Provider Name | Lindita Coku |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1134394745 PECOS PAC ID: 9830356963 Enrollment ID: I20211102000258 |
| Provider Name | Trevor Axford |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1528094224 PECOS PAC ID: 0648274449 Enrollment ID: I20211124000821 |
| Provider Name | Alexander Stein |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1861440430 PECOS PAC ID: 5698667582 Enrollment ID: I20211230000953 |
| Provider Name | Marco Alejandro Casanova |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811421027 PECOS PAC ID: 7618369539 Enrollment ID: I20220126000640 |
| Provider Name | Scott B Hankinson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386610178 PECOS PAC ID: 5193700045 Enrollment ID: I20220412001457 |
| Provider Name | James Takara |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1902883747 PECOS PAC ID: 5597770263 Enrollment ID: I20220418000264 |
| Provider Name | Patience Marie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285375196 PECOS PAC ID: 0042698086 Enrollment ID: I20220603001833 |
| Provider Name | Steven B Eisenberg |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1073512513 PECOS PAC ID: 3577580307 Enrollment ID: I20220609001449 |
| Provider Name | Claudia Milena Rodriguez-arredondo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144420589 PECOS PAC ID: 3375634207 Enrollment ID: I20220705000770 |
| Provider Name | Richard Bravo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215432919 PECOS PAC ID: 3274934153 Enrollment ID: I20220802002880 |
| Provider Name | Fernando Riveron |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1568493427 PECOS PAC ID: 6103909148 Enrollment ID: I20230213001795 |
| Provider Name | Arshad M Yousuf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245511567 PECOS PAC ID: 2769459569 Enrollment ID: I20230214001793 |
| Provider Name | Domenique Martini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083205538 PECOS PAC ID: 2567826456 Enrollment ID: I20230911003213 |
Express Care Medical Cinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3161 Harbor Blvd, Suite A, Port Charlotte, FL 33952 Phone: 941-629-1218 Fax: 941-625-9465 | |
Carlton R. Vollberg M D P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2852 Tamiami Trl Ste 6, Port Charlotte, FL 33952 Phone: 941-743-4445 Fax: 941-743-4287 | |
B Adhinarayanan Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Harbor Blvd, Suite 16, Port Charlotte, FL 33952 Phone: 941-613-1223 Fax: 941-613-1224 | |
Coastal Cardiololgy & Vascular Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Tamiami Trl, Suite 300, Port Charlotte, FL 33948 Phone: 941-625-6187 Fax: 941-625-7887 | |
Pamela Papola Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3410 Tamiami Trl, 1, Port Charlotte, FL 33952 Phone: 941-255-3722 Fax: 941-255-3723 | |
Infectious Diseases Consultants, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21205 Olean Blvd Ste A, Port Charlotte, FL 33952 Phone: 941-613-2800 Fax: 941-613-2801 |