Organization Active NPI

Advanced Cardiac & Vascular Center PL

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1437336781
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME83907 Issued in FL
Legal business name
ADVANCED CARDIAC & VASCULAR CENTER PL
Practice address
2625 Tamiami TRL
Unit 5
Port Charlotte, FL 33952-6478
Phone
(941) 235-4646
Fax
(941) 235-4655
NPI assigned
Jan 29, 2008
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
James A Hearn, MD
Title
MD/ Owner
Phone
(941) 235-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X ME83907 FL Primary

Addresses

Primary practice location

2625 Tamiami TRL
Unit 5
Port Charlotte, FL 33952-6478

Mailing address

2625 Tamiami TRL
Unit 5
Port Charlotte, FL 33952-6478
Phone (941) 235-4646

Other identifiers 1

IdentifierTypeStateIssuer
ME83907OtherFLOWNERS MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1437336781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TAMIAMI TRL",
            "address_2": "UNIT 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526478",
            "telephone_number": "941-235-4646",
            "fax_number": "941-235-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TAMIAMI TRL",
            "address_2": "UNIT 5",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339526478",
            "telephone_number": "941-235-4646",
            "fax_number": "941-235-4655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIAC & VASCULAR CENTER PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD/ OWNER",
        "authorized_official_telephone_number": "941-235-4646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME83907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS MEDICAL LICENSE",
            "identifier": "ME83907",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.