Provider Demographics
| NPI: | 1144943317 |
|---|---|
| Name: | NEUROPATHY GLOBAL |
| Entity type: | Organization |
| Organization Name: | NEUROPATHY GLOBAL |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CFO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | AMRITA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | RAMDEHOLL |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 888-859-5343 |
| Mailing Address - Street 1: | 7901 4TH ST N STE 10810 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | ST PETERSBURG |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33702-4305 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 888-958-5343 |
| Mailing Address - Fax: | 888-958-5343 |
| Practice Address - Street 1: | 2191 9TH AVE N STE 150 |
| Practice Address - Street 2: | |
| Practice Address - City: | ST PETERSBURG |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33713-7146 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 888-958-5343 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2022-09-22 |
| Last Update Date: | 2022-12-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | Group - Multi-Specialty | |
| No | 2251N0400X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Neurology | Group - Multi-Specialty |
| No | 246ZE0600X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic | Group - Multi-Specialty |
| No | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism | Group - Multi-Specialty |
| No | 2084D0003X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Diagnostic Neuroimaging | Group - Multi-Specialty |
| No | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology | Group - Multi-Specialty |
| No | 2084N0600X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Clinical Neurophysiology | Group - Multi-Specialty |
| No | 2084P2900X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Pain Medicine | Group - Multi-Specialty |
| No | 2084V0102X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Vascular Neurology | Group - Multi-Specialty |
| No | 2085D0003X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Neuroimaging | Group - Multi-Specialty |
| No | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | ------- | Other | MEDICARE |