Lawnwood Cardiovascular Surgery LLC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

Legal business name

LAWNWOOD CARDIOVASCULAR SURGERY LLC

Practice address

2100 Nebraska Ave Ste 201
Fort Pierce, FL 34950-4832

Phone

(772) 465-8100

Fax

(772) 465-8689

NPI assigned

Oct 16, 2006

Last updated

Nov 1, 2022By 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

William Tedrick Johnson

Title

Vice President

Phone

(615) 372-3375

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Lawnwood Cardiovascular Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Miami, FL
  • NPI 1053080887
  NPPES parent name
• Lawnwood Cardiovascular Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Plantation, FL
  • NPI 1821661166
  NPPES parent name

Practitioners 140

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.

• Courtney Leigh Adams, APRN

  • Family Nurse Practitioner
  • Atlantis, FL
  • NPI 1306507256
  Medicare reassignment Care Compare group NPD
• Sara Bierschenk, ARNP

  • Family Nurse Practitioner
  • Jupiter, FL
  • NPI 1891205191
  Medicare reassignment Care Compare group NPD
• Mike E. Buitrago, ARNP

  • Nurse Practitioner
  • Plantation, FL
  • NPI 1205957784
  Medicare reassignment Care Compare group NPD
• Yuri Ernesto Carmona, APRN

  • Acute Care Nurse Practitioner
  • Miami, FL
  • NPI 1417737180
  Medicare reassignment Care Compare group NPD
• Kym Aloha Opsima- Casinillo, FNP-BC, ARNP

  • Family Nurse Practitioner
  • Atlantis, FL
  • NPI 1740847698
  Medicare reassignment Care Compare group NPD
• Arul B Chidambaram, MD

  • Vascular Surgery Physician
  • Loxahatchee, FL
  • NPI 1154316727
  Medicare reassignment Care Compare group NPD
• Andrea Corcoran, APRN

  • Nurse Practitioner
  • Sunrise, FL
  • NPI 1912534231

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Brandon Alan Diaz, MD

  • Vascular Surgery Physician
  • Miami, FL
  • NPI 1740631571
  Medicare reassignment Care Compare group NPD
• Cristiano Nicoletti Faber, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlantis, FL
  • NPI 1992017198
  Medicare reassignment Care Compare group NPD
• Paige Elizabeth Fleming, RN

  • Nurse Practitioner
  • Port Saint Lucie, FL
  • NPI 1346035557
  Medicare reassignment Care Compare group NPD
• Neil Igar Galindez, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Palm Beach Gardens, FL
  • NPI 1922238799
  Medicare reassignment Care Compare group NPD
• Waqas A Ghumman, M.D.

  • Advanced Heart Failure and Transplant Cardiology Physician
  • Atlantis, FL
  • NPI 1619931516
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1386724169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274525",
            "telephone_number": "615-372-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NEBRASKA AVE STE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504832",
            "telephone_number": "772-465-8100",
            "fax_number": "772-465-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWNWOOD CARDIOVASCULAR SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TEDRICK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-3375"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG0823",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Camille Latty, M.S
• Laura Hanke Arnp LTD Co
• Laurel Point Care Acquisition LLC (Sandgate Gardens Rehab and Nursing Center)
• Laurel Point Care and Rehabilitation Center LLC
• Lawnwood Anesthesia Providers LLC
• Lawnwood Commons Operating LLC (The Lynmoore)
• Lawnwood Healthcare Specialists LLC
• Lawnwood Medical Center Inc (HCA Florida Lawnwood Hospital Physical Rehabilitation Center)
• Lawnwood Medical Center Inc (HCA Florida Lawnwood Hospital)
• Lawnwood Medical Center Inc (HCA Florida Lawnwood Hospital)

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.