Organization Active NPI

Eastern Shore Cardiovascular Assoc. P.a.

  • Specialist
  • Salisbury, MD
National Provider Identifier
1447255492
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0025036 Issued in MD
Legal business name
EASTERN SHORE CARDIOVASCULAR ASSOC. P.A.
Practice address
614 Eastern Shore Dr
# D
Salisbury, MD 21804-5955
Phone
(410) 749-5419
Fax
(410) 749-1047
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Dr. Harikisan Rambilas Heda, M.D.
Title
President
Phone
(410) 749-5419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0025036 MD Primary

Addresses

Primary practice location

614 Eastern Shore Dr
# D
Salisbury, MD 21804-5955

Mailing address

614 Eastern Shore Dr
# D
Salisbury, MD 21804-5955
Phone (410) 749-5419

National Provider Directory

National Provider Directory

Locations

614 Eastern Shore Dr
Ste D
Salisbury, MD 21804
Phone (410) 742-0062

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1447255492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 EASTERN SHORE DR",
            "address_2": "# D",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045955",
            "telephone_number": "410-749-5419",
            "fax_number": "410-749-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EASTERN SHORE DR",
            "address_2": "# D",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045955",
            "telephone_number": "410-749-5419",
            "fax_number": "410-749-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE CARDIOVASCULAR ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "HEDA",
        "authorized_official_first_name": "HARIKISAN",
        "authorized_official_middle_name": "RAMBILAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-749-5419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0025036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.