Atlantic Cardiology & Medical Specialists, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ATLANTIC CARDIOLOGY & MEDICAL SPECIALISTS, PA

Practice address

731 Dunlawton Ave
Suites 101 & 102
Port Orange, FL 32127-4236

Phone

(386) 767-9585

Fax

(386) 767-9769

NPI assigned

Oct 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ahmad Shamsin, M.D.NPI 1568436731

Title

President

Phone

(386) 767-9585

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Ahmad Shamsin, M.D.

  • Cardiovascular Disease Physician
  • Port Orange, FL
  • NPI 1568436731
  Medicare reassignment NPD Authorized official
• Susheel S Gundewar, M.D.

  • Interventional Cardiology Physician
  • Aberdeen, SD
  • NPI 1639364581
  NPD (past)

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

{
    "created_epoch": "1318032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1346524337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 DUNLAWTON AVE",
            "address_2": "SUITES 101 & 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274236",
            "telephone_number": "386-767-9585",
            "fax_number": "386-767-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 DUNLAWTON AVE",
            "address_2": "SUITES 101 & 102",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274236",
            "telephone_number": "386-767-9585",
            "fax_number": "386-767-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CARDIOLOGY & MEDICAL SPECIALISTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-08",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "SHAMSIN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-767-9585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashraf Elsakr, M.D., P.a.,
• Leonard Jerome Astrauskas, MD
• Kayla Atkinson
• Atlantic Anesthesia Services, LLC
• Atlantic Audiology, LLC
• Atlantic Health Solutions, Inc
• Atlantic Medical Services, LLC
• Atlantic Medication Management Systems Inc
• Atlantic Podiatry Associates DPM PA
• Atlantic Primary Care PLLC

• Medical Specialty Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.