Active NPI
South County Heart Group Inc
Doing business as South County Heart Center
- Cardiovascular Disease Physician
- Venice, FL
National Provider Identifier
1114095890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTH COUNTY HEART GROUP INC
- Doing business as
- South County Heart Center
- Practice address
- 1225 Jacaranda Blvd
Venice, FL 34292-4521 - Phone
- (941) 492-5666
- Fax
- (941) 497-2331
- NPI assigned
- Dec 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William J Corin, M.D.
- Title
- Prersident
- Phone
- (941) 492-5666
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | FL | Primary |
Addresses
Primary practice location
1225 Jacaranda Blvd
Venice, FL 34292-4521
Mailing address
1225 Jacaranda Blvd
Venice, FL 34292-4521
Phone (941) 492-5666
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252635200 | Medicaid | FL | |
| C18929 | Other | BLUE CROSS | |
| 257322900 | Medicaid | FL | |
| 373654700 | Medicaid | FL | |
| CE0372 | Other | FL | RAILROAD MEDICARE |
Other names 1
- South County Heart Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216857600000",
"number": "1114095890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924521",
"telephone_number": "941-492-5666",
"fax_number": "941-497-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 JACARANDA BLVD",
"city": "VENICE",
"state": "FL",
"postal_code": "342924521",
"telephone_number": "941-492-5666",
"fax_number": "941-497-2331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COUNTY HEART GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2008-07-24",
"status": "A",
"authorized_official_last_name": "CORIN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRERSIDENT",
"authorized_official_telephone_number": "941-492-5666",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "252635200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "C18929",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257322900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "373654700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE0372",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South County Heart Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Venice, FL
- Meaghan Smith
- Jami T Snow, PHARMD
- Stephen Sollot, D.O.
- Jacquelyn Somach
- Sonriesza Enterprises LLC (Venice Village Dental)
- South Florida Cardiology Associates LLC
- South Florida Cardiology Associates LLC
- Southwest Florida Retirement Center (Village On The Isle)
- Joseph William Sowka, O.D.
- Katie A Spada, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.