Organization Active NPI

South County Heart Group Inc

Doing business as South County Heart Center

  • Cardiovascular Disease Physician
  • Venice, FL
National Provider Identifier
1114095890
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Jul 24, 2008

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
252635200MedicaidFL
C18929OtherBLUE CROSS
257322900MedicaidFL
373654700MedicaidFL
CE0372OtherFLRAILROAD MEDICARE

Other names 1

  • South County Heart Center Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.