Florida Heart and Vascular Surgeons, PA

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

FLORIDA HEART AND VASCULAR SURGEONS, PA

Practice address

1511 SW 1St Ave
Ocala, FL 34471-6505

Phone

(352) 867-8311

Fax

(352) 622-5771

NPI assigned

Jun 13, 2006

Last updated

Jan 14, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Treva D. Widdis

Title

Associate Executive Director

Phone

(352) 867-8311

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Leesburg Cardiovascular Associates LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Leesburg, FL
  • NPI 1952346017
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert C. Kuykendall, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ocala, FL
  • NPI 1518995448
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1033152822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3130",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344783130",
            "telephone_number": "352-867-8311",
            "fax_number": "352-622-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716505",
            "telephone_number": "352-867-8311",
            "fax_number": "352-622-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA HEART AND VASCULAR SURGEONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "WIDDIS",
        "authorized_official_first_name": "TREVA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "352-867-8311"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378057100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "72180",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida Department of Health
• Florida Em-I Medical Services PA
• Florida Em-I Medical Services PA
• Florida Eye Specialist Institute PA
• Florida Hearing Centers, LLC
• Florida Hearts LLC
• Florida Hospital Ocala Inc (Adventhealth Timberridge ER)
• Florida Hospital Ocala Inc (AdventHealth Wound Care Center Ocala)
• Florida Hospital Ocala Inc (Advent Health Ocala)
• Florida Hospital Ocala Inc (Adventhealth Heathbrook ER)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.