Lakewood Cardiovascular Consultants P a

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME77684 Issued in FL

Legal business name

LAKEWOOD CARDIOVASCULAR CONSULTANTS P A

Practice address

6310 Health Park Way
Suite 230
Bradenton, FL 34202-5177

Phone

(941) 907-1113

Fax

(941) 907-3887

NPI assigned

Jan 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erick E Calderon, MDNPI 1912904855

Title

Owner

Phone

(941) 907-1113

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBACCD

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erick E. Calderon, M.D., F.A.C.C.

  • Specialist
  • Lakewood Ranch, FL
  • NPI 1912904855
  Medicare reassignment NPD Authorized official
• Cynthia Sue Bosch, ARNP

  • Adult Health Nurse Practitioner
  • Lakewood Ranch, FL
  • NPI 1477559227
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1003969437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY",
            "address_2": "SUITE 230",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-907-1113",
            "fax_number": "941-907-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6310 HEALTH PARK WAY",
            "address_2": "SUITE 230",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025177",
            "telephone_number": "941-907-1113",
            "fax_number": "941-907-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD CARDIOVASCULAR CONSULTANTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "ERICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-907-1113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME77684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lags Spine and Sportscare Medical Centers, Inc.
• Jiun-Jye Jack Lai
• Lake Erie College of Osteopathic Medicine
• Lakeside Counseling LLC
• Lakewood Ambulatory Anesthesia PLLC
• Lakewood Dental Excellence, P.a.
• Lakewood Ranch Acupuncture and Wellness
• Lakewood Ranch Chiropractic Inc
• Lakewood Ranch Counseling
• Lakewood Ranch Counseling, LLC.

• Cardiovascular Disease Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.