KSC Cardiology PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME64020 Issued in FL

Legal business name

KSC CARDIOLOGY PA

Practice address

320 1St St. N
Winter Haven, FL 33881

Phone

(863) 508-1101

Fax

(863) 299-6158

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kollagunat S Chandrasekhar, M.D.

Title

President

Phone

(863) 294-5505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

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

Practitioners 5

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

• Ritu Aparajita, MD

  • Vascular Surgery Physician
  • Lakeland, FL
  • NPI 1811216732

  FL

  Medicare reassignment Care Compare group NPD
• Kollagunta Sreenivasa Chandrasekhar, M.D.

  • Cardiovascular Disease Physician
  • Winter Haven, FL
  • NPI 1396713491

  FL

  Medicare reassignment Care Compare group NPD
• Milcah Grace S Caculitan, FNP

  • Family Nurse Practitioner
  • Lake Wales, FL
  • NPI 1306279807

  FL

  Medicare reassignment NPD
• Cynthia Louise Wolford, ARNP, FNP-C

  • Family Nurse Practitioner
  • Winter Haven, FL
  • NPI 1366707606

  FL

  Medicare reassignment NPD
• Syed Waseemuddin Ahmed MD

  • Internal Medicine Physician
  • Winter Haven, FL
  • NPI 1013942366
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1023035862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-508-1101",
            "fax_number": "863-299-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST. N",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "33881",
            "telephone_number": "863-508-1101",
            "fax_number": "863-299-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSC CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CHANDRASEKHAR",
        "authorized_official_first_name": "KOLLAGUNAT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-294-5505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME64020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathyrn Dawn Kopp
• Randall B Kramer, MD
• Leonard Kronen, D.C.
• Kronus Consulting and Marketing Firm LLC
• Consuelo Krueger-Gerstorff
• David Kunberger
• Leah Anna Kuruvilla, FNP-C
• La Foi Home Care Services
• La Fortaleza Physical Therapy Center Inc
• Nydialis La Santa Medina

• All providers in Winter Haven, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.