Organization Active NPI

Palms Cardiovascular Institute,LLC

  • Specialist
  • Thonotosassa, FL
National Provider Identifier
1396990552
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3194210 Issued in FL
Legal business name
PALMS CARDIOVASCULAR INSTITUTE,LLC
Practice address
10616 Main St
Thonotosassa, FL 33592-2828
Phone
(813) 220-5535
Fax
(813) 220-5535
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Samirkumar J Shah, M.D., F.A.C.C.
Title
Owner
Phone
(412) 963-2349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 3194210 FL Primary

Addresses

Primary practice location

10616 Main St
Thonotosassa, FL 33592-2828

Mailing address

1360 Old Freeport Rd
Suite 1a
Pittsburgh, PA 15238-4102
Phone (412) 963-2349

National Provider Directory

National Provider Directory

Locations

2010 NE 14th St
Ste 200
Ocala, FL 34470
Phone (352) 291-9422

2010 NE 14th St
Bldg 2
Ocala, FL 34470

10616 Main St
Thonotosassa, FL 33592
Phone (813) 220-5535

1360 Old Freeport Rd
Ste 1A
Pittsburgh, PA 15238
Phone (412) 772-1461

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1396990552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 OLD FREEPORT RD",
            "address_2": "SUITE 1A",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152384102",
            "telephone_number": "412-963-2349",
            "fax_number": "412-963-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 MAIN ST",
            "city": "THONOTOSASSA",
            "state": "FL",
            "postal_code": "335922828",
            "telephone_number": "813-220-5535",
            "fax_number": "813-220-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMS CARDIOVASCULAR INSTITUTE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SAMIRKUMAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-963-2349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.C.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "3194210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thonotosassa, FL

Sources for this page

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