THE HEADACHE AND NEUROLOGY CLINIC PA – NPI #1770614786
Neuromusculoskeletal Medicine & OMM

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

THE HEADACHE AND NEUROLOGY CLINIC PA is a provider located in BROOKSVILLE, FL. NPPES has assigned the NPI number 1770614786 to THE HEADACHE AND NEUROLOGY CLINIC PA on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 204D00000X from the Health Care Provider Taxonomy code set, which is classified as Neuromusculoskeletal Medicine & OMM.

The NPI profile was previously updated about 16 years ago on Jul 06, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE HEADACHE AND NEUROLOGY CLINIC PA below.

NPI Profile for
THE HEADACHE AND NEUROLOGY CLINIC PA

NPI Number
1770614786
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THE HEADACHE AND NEUROLOGY CLINIC PA
Primary location
11373 CORTEZ BLVD STE 303
303
BROOKSVILLE, FL 34613-5411
Phone: (352) 596-8344 Fax: (352) 597-2898
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
QAHTAN ABDULFATTAH
PRESIDENT
Phone: (352) 596-8344
Updated
Identifiers

Identifiers for THE HEADACHE AND NEUROLOGY CLINIC PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPROVIDER'S INDIVIDUAL NPI1558370411
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204D00000X
- Neuromusculoskeletal Medicine & OMM (Primary)
FL ME92671

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.