Center for Health of Charlotte PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0055973 Issued in FL

Legal business name

CENTER FOR HEALTH OF CHARLOTTE PA

Practice address

1107 W Marion Ave
116
Punta Gorda, FL 33950-5372

Phone

(941) 637-7000

Fax

(941) 639-7576

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

David E Ruggieri, M.D.NPI 1891702965

Title

Ceo

Phone

(941) 637-7000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• David Ruggieri, M.D.

  • Cardiovascular Disease Physician
  • Punta Gorda, FL
  • NPI 1891702965
  Medicare reassignment Care Compare group NPD Authorized official
• Jihad Ali Mustapha, M.D.

  • Cardiovascular Disease Physician
  • Englewood, FL
  • NPI 1316938723
  Medicare reassignment Care Compare group NPD
• Yudelkis Jimenez Delgado Sr., APRN

  • Family Nurse Practitioner
  • Naples, FL
  • NPI 1386360535
  Medicare reassignment NPD
• Angela Keon, MD

  • Family Medicine Physician
  • Punta Gorda, FL
  • NPI 1891906368

  Single Specialty

  Medicare reassignment NPD
• Asad U. Qamar, M.D.

  • Cardiovascular Disease Physician
  • Ocala, FL
  • NPI 1033145487
  Medicare reassignment NPD
• Haseebuddin Mohammed Ahmed, M.D

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1447857420

  FL

  Medicare reassignment NPD
• Jeveria Ali, DNP, APRN, AGACNP-BC

  • Nurse Practitioner
  • Ocala, FL
  • NPI 1396456505
  NPD (past)
• Lazaro Mario Vazquez Moreira, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1821763392
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1124276167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "116",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-637-7000",
            "fax_number": "941-639-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W MARION AVE",
            "address_2": "116",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339505372",
            "telephone_number": "941-637-7000",
            "fax_number": "941-639-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALTH OF CHARLOTTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "RUGGIERI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "941-637-7000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0055973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "97988",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Castello
• Jill Ellen Catlin, LMFT
• Sutter Caton
• Deborah Paige Cavic, PHARM.D.
• Cayo Costa Dental, Inc
• Brad Ceurvels, D.C.
• Leslie Chandler
• Charlene Q Okonski DO PA
• Charlotte Behavioral Health Care Inc
• Charlotte Behavioral Healthcare

• Cardiovascular Disease Physician in Punta Gorda, FL
• Providers in Punta Gorda, 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 May 12, 2015; 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.