NKBH LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME107042 Issued in FL

Legal business name

NKBH LLC

Doing business as

HeartSouth

Practice address

2567 Huntcliff LN
Panama City, FL 32405-4902

Phone

(850) 215-7117

Fax

(850) 913-8956

NPI assigned

Oct 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dinesh K Bhatt, MDNPI 1053408815

Title

President / Provider

Phone

(502) 387-7208

Specialties & licenses 1

Addresses

Other names 1

• HeartSouth Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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

• Dinesh K Bhatt, M.D.

  • Cardiovascular Disease Physician
  • Panama City, FL
  • NPI 1053408815
  Medicare reassignment Authorized official
• Shelley Keller Clark, AG-ACNP

  • Acute Care Nurse Practitioner
  • Panama City, FL
  • NPI 1376077636
  NPD

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664582400000",
    "number": "1083923437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-215-7117",
            "fax_number": "850-913-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-215-7117",
            "fax_number": "850-913-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKBH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2022-10-01",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "DINESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT / PROVIDER",
        "authorized_official_telephone_number": "502-387-7208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME107042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HeartSouth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donna Soave Nichols, P.T.
• Timothy P Nichols, M.D.
• Nathanael Wayne Nickel, MD
• Tabitha K Nieto
• Kimberley Guiler Nixon, BCBA
• No Place Like Homecare Services, LLC
• Michael C Noble, M.D.
• Thiago Nodarse Ortega
• Laura Lea Nofal, PAC
• Gina Maria Nolan, ARNP

• Cardiovascular Disease Physician in Panama City, FL
• Providers in Panama City, 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 Oct 1, 2022; 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.