NPIMap

Organization Active NPI

Panel of Ekg - Lakewood

  • Cardiovascular Disease Physician
  • Bradenton, FL
National Provider Identifier
1376593392
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PANEL OF EKG - LAKEWOOD
Practice address
8340 Lakewood Ranch Blvd
Bradenton, FL 34202-5180
Phone
(941) 365-8532
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marina Costopoulos
Title
Administrator
Phone
(941) 365-8532

Specialties & licenses 1

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

Addresses

Primary practice location

8340 Lakewood Ranch Blvd
Bradenton, FL 34202-5180

Mailing address

PO Box 25548
Sarasota, FL 34277-2548

National Provider Directory

National Provider Directory

Locations

1950 Arlington St
Ste 300
Sarasota, FL 34239
Phone (941) 366-9800

2142 Hillview St
Sarasota, FL 34239
Phone (941) 954-0301

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376593392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25548",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342772548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 LAKEWOOD RANCH BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342025180",
            "telephone_number": "941-365-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANEL OF EKG - LAKEWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSTOPOULOS",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-365-8532"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.