Cardiovascular Health Consultants PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR HEALTH CONSULTANTS PA

Practice address

13575 NW 1St LN Ste 20
Newberry, FL 32669-3735

Phone

(352) 332-5755

Fax

(855) 964-1167

NPI assigned

May 30, 2006

Organization subpart

No

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

Authorized official

Name

Preston T Green, MDNPI 1629003538

Title

Physician

Phone

(352) 332-5755

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• North Florida Heart 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.

• Preston T Green, MD

  • Cardiovascular Disease Physician
  • Newberry, FL
  • NPI 1629003538
  Medicare reassignment NPD Authorized official
• Floyd Whitlow Burke, MD

  • Cardiovascular Disease Physician
  • Vero Beach, FL
  • NPI 1811970981
  NPD (past)

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1104873405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 NW 1ST LN STE 20",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693735",
            "telephone_number": "352-332-5755",
            "fax_number": "855-964-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 NW 1ST LN STE 20",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693735",
            "telephone_number": "352-332-5755",
            "fax_number": "855-964-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR HEALTH CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "PRESTON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-332-5755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED GROUP",
            "identifier": "S1027207",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG3096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "24544",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Heart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Florida Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaiah Bryner
• Mary Kyle Bunnell, LMT
• Jordan M Bush, ATC, LAT
• Kevin Byrd, PHARMD
• Dianna Capote
• Tracey Lynn Carlos, M.S., CCC/SLP
• Taylor Certain, PHARMD, RPH.
• Megan Elizabeth Chesser, LMT
• Paige Marie Christensen, M.A., CCC-SLP
• Jessica Cipolla, ARNP

• Cardiovascular Disease Physician in Newberry, FL
• Providers in Newberry, 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 Nov 8, 2024; 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.