Organization Active NPI

Cardiac Consultants PA

  • Cardiovascular Disease Physician
  • Apopka, FL
National Provider Identifier
1316122633
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME85102 Issued in FL
Legal business name
CARDIAC CONSULTANTS PA
Practice address
201 N Park Ave
Suite 300
Apopka, FL 32703-4147
Phone
(407) 334-4448
Fax
(407) 889-1903
NPI assigned
Jan 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Ajay Thakur, MD
Title
Physician
Phone
(407) 334-4448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME85102 FL Primary

Addresses

Primary practice location

201 N Park Ave
Suite 300
Apopka, FL 32703-4147

Mailing address

201 N Park Ave
Suite 300
Apopka, FL 32703-4147
Phone (407) 334-4448

Other identifiers 3

IdentifierTypeStateIssuer
E8550OtherFLINDIVIDUAL MC PROVIDER #
264285900MedicaidFL
1770571846OtherFLINDIVIDUAL PROVIDER NPI #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1316122633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE",
            "address_2": "SUITE 300",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-334-4448",
            "fax_number": "407-889-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PARK AVE",
            "address_2": "SUITE 300",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327034147",
            "telephone_number": "407-334-4448",
            "fax_number": "407-889-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "407-334-4448",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME85102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MC PROVIDER #",
            "identifier": "E8550",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264285900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI #",
            "identifier": "1770571846",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apopka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.