Chinnia Gnanashanmugam, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME38376 Issued in FL

Practice address

2400 Harbor Blvd
Suite 12
Port Charlotte, FL 33952-5052

Phone

(941) 625-6187

Fax

(941) 625-7887

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Harbor Cardiology & Vascular Center PA

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1922189018
  Medicare reassignment
• Coastal Cardiololgy & Vascular Center

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1033494547

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1114944642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 12",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-625-6187",
            "fax_number": "941-625-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 12",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-625-6187",
            "fax_number": "941-625-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GNANASHANMUGAM",
        "first_name": "CHINNIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME38376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066348400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mashell Gillett, APRN
• Jarrett Gillette, MD
• Corey Louis Girdwood, D.C.
• Glasses RX, LLC
• Herman Gleicher, MD
• Protacio Lorenzo Go
• Andrew Gobrial, MD
• Wayne Arthur Goffin I
• Gold Star Neonatology PA
• Golden Hearth Companion & More Services LLC

• Cardiovascular Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, 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 Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.