Active NPI
Palms Cardiovascular Institute,LLC
- Specialist
- Thonotosassa, FL
National Provider Identifier
1396990552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3194210
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.