Heart Center of Saint Augustine, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0064435 Issued in FL

Legal business name

HEART CENTER OF SAINT AUGUSTINE, PA

Practice address

301 Health Park Blvd Ste 329
Saint Augustine, FL 32086-5771

Phone

(904) 825-4333

Fax

(904) 825-4248

NPI assigned

Nov 3, 2010

Last updated

Nov 3, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Krishna Sikaria, M.D.NPI 1366465783

Title

Physcian

Phone

(904) 825-4333

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishna M Sikaria, M.D.

  • Cardiovascular Disease Physician
  • St Augustine, FL
  • NPI 1366465783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1215238563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 FIDDLERS POINT DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320806133",
            "telephone_number": "904-825-4333",
            "fax_number": "904-825-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HEALTH PARK BLVD STE 329",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320865771",
            "telephone_number": "904-825-4333",
            "fax_number": "904-825-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER OF SAINT AUGUSTINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "SIKARIA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "PHYSCIAN",
        "authorized_official_telephone_number": "904-825-4333",
        "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": "ME0064435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060052505",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "375418900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PARTICIPATION ID",
            "identifier": "25436A",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE CROSS BLUE SHIELD",
            "identifier": "25436",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Health First LLC
• Health Park Foot & Ankle Associates Inc
• Health Park Podiatric Foot and Ankle Clinic, Inc
• Healthcare Properties of St Augustine Inc (Ponce de Leon Care Center or The Ponce Therapy Care Center)
• Healthy Minds Psychological Services, LLC
• Kirsten Heath, PT, DPT
• Randolph W Heath, PA-C
• Hebbler Rehabilitation, Inc.
• George Paul Hebbler III, PT, DPT
• Lora Danielle Hebbler, OT/L

• Cardiovascular Disease Physician in St Augustine, FL
• Providers in St Augustine, 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 3, 2010; 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.