Aneley Hundae Port Charlotte Cardiology LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ANELEY HUNDAE PORT CHARLOTTE CARDIOLOGY LLC

Practice address

3161 Harbor Blvd Ste a
Port Charlotte, FL 33952-6754

Phone

(941) 235-8892

Fax

(941) 883-4494

NPI assigned

Oct 29, 2018

Organization subpart

No

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

Authorized official

Name

Aneley Y Hundae, MDNPI 1659551356

Title

Owner

Phone

(941) 235-8892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73081

Practitioners 3

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

• Aneley Yegezu Hundae, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1659551356
  Medicare reassignment Care Compare group NPD Authorized official
• Shelly Russo, APRN

  • Gerontology Nurse Practitioner
  • Venice, FL
  • NPI 1104549187
  Medicare reassignment Care Compare group NPD
• Kristen Lynn Carr, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1952932329
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1417424482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3161 HARBOR BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526754",
            "telephone_number": "941-235-8892",
            "fax_number": "941-883-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3161 HARBOR BLVD STE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526754",
            "telephone_number": "941-235-8892",
            "fax_number": "941-883-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANELEY HUNDAE PORT CHARLOTTE CARDIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "HUNDAE",
        "authorized_official_first_name": "ANELEY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-235-8892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME106485",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra H. Anderson, FNP
• Samanta Andisco, D.M.D.
• Andrea Andrade, LDN, RD
• Cameren Elise Andrews, APRN
• Victoriya Andriychuk
• Anesthesia & Pain Management Associates of S.W. Florida, LLC
• Andres E Angel, MD
• Mark Adam Angeloni
• Peter Angelopoulos, MD, MBA
• Gifta Anil

• Cardiovascular Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.