NPIMap

Organization Active NPI

Asante-Korang Edwards Giroud Martinez McCormack & Suh MD PA

Doing business as Pediatric Cardiology Associates

  • Pediatric Cardiology Physician
  • St Petersburg, FL
National Provider Identifier
1366478109
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA
Doing business as
Pediatric Cardiology Associates
Practice address
840 Dr Mlking Jr St No
400
St Petersburg, FL 33705
Phone
(727) 767-4200
Fax
(727) 767-8047
NPI assigned
Jun 23, 2006
Last updated
Jul 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Jorge McCormack, MDNPI 1417994435
Title
Chief Executive Officer
Phone
(727) 767-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

840 Dr Mlking Jr St No
400
St Petersburg, FL 33705

Mailing address

880 6TH St S
280
St Petersburg, FL 33701-4827
Phone (727) 767-4200

Other names 1

  • Pediatric Cardiology Associates Doing business as

National Provider Directory

National Provider Directory

Locations

840 Dr Ml King Jr St N
Ste 400
St Petersburg, FL 33705

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1366478109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 6TH ST S",
            "address_2": "280",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014827",
            "telephone_number": "727-767-4200",
            "fax_number": "727-767-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 DR MLKING JR ST NO",
            "address_2": "400",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-767-4200",
            "fax_number": "727-767-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "727-767-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Cardiology Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.