NPIMap

Organization Active NPI

Florida Cardiovascular Institute PA

  • Cardiovascular Disease Physician
  • Tampa, FL
National Provider Identifier
1447277322
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
FLORIDA CARDIOVASCULAR INSTITUTE PA
Practice address
509 S Armenia Ave
Ste. 200
Tampa, FL 33609-3395
Phone
(813) 353-1515
Fax
(813) 353-0485
NPI assigned
Jul 16, 2006
Last updated
Nov 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Authorized official

Name
Dr. John Thompson Sullebarger, M.D.NPI 1679516728
Title
President
Phone
(813) 353-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

509 S Armenia Ave
Ste. 200
Tampa, FL 33609-3395

Mailing address

509 S Armenia Ave
Ste. 200
Tampa, FL 33609-3395
Phone (813) 353-1515

Other identifiers 2

IdentifierTypeStateIssuer
21968OtherFLBLUE CROSS BLUE SHIELD
255769000MedicaidFL

National Provider Directory

National Provider Directory

Locations

509 S Armenia Ave
Ste 200
Tampa, FL 33609
Phone (813) 353-0248

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1447277322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S ARMENIA AVE",
            "address_2": "STE. 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093395",
            "telephone_number": "813-353-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S ARMENIA AVE",
            "address_2": "STE. 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093395",
            "telephone_number": "813-353-1515",
            "fax_number": "813-353-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARDIOVASCULAR INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "SULLEBARGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-353-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "21968",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255769000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

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