Anley Cardiovascular PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ANLEY CARDIOVASCULAR PLLC

Practice address

1300 N Lawnwood Cir
Fort Pierce, FL 34950-4884

Phone

(305) 788-4440

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Ellis Christian, MDNPI 1376898122

Title

Ceo

Phone

(305) 788-4440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 3

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

• Ellis Christian, MD

  • Interventional Cardiology Physician
  • Fort Pierce, FL
  • NPI 1376898122
  Medicare reassignment Care Compare group NPD Authorized official
• Alina Herrera

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1669256285
  Medicare reassignment Care Compare group
• Amina Marie Defalco, APRN

  • Family Nurse Practitioner
  • Fort Pierce, FL
  • NPI 1376388215
  NPD

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1467178673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504884",
            "telephone_number": "305-788-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N LAWNWOOD CIR",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504884",
            "telephone_number": "305-788-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANLEY CARDIOVASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2023-04-28",
        "certification_date": "2023-02-18",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAN",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-788-4440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.