Organization Active NPI

Florida Cardio Thoracic & Vascular Consultants PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Brandon, FL
National Provider Identifier
1467441758
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME88294 Issued in FL
Legal business name
FLORIDA CARDIO THORACIC & VASCULAR CONSULTANTS PA
Practice address
633 W Lumsden Rd
Brandon, FL 33511-5911
Phone
(813) 643-0033
Fax
(813) 643-3366
NPI assigned
Oct 19, 2005
Last updated
May 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Faisal B Khan, MDNPI 1225027261
Title
Physician Owner
Phone
(813) 779-9500

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
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME88294 FL Primary

Addresses

Primary practice location

633 W Lumsden Rd
Brandon, FL 33511-5911

Mailing address

633 W Lumsden Rd
Brandon, FL 33511-5911
Phone (813) 643-0033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001615 FL Part B Supplier - Clinic/Group Practice 5890687198 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL; Brandon, FL

National Provider Directory

National Provider Directory

Locations

633 W Lumsden Rd
Brandon, FL 33511
Phone (813) 643-0033

6725 Cedarridge Dr
Ste 1
Zephyrhills, FL 33542
Phone (813) 780-9616

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1467441758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-643-0033",
            "fax_number": "813-643-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-643-0033",
            "fax_number": "813-643-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA CARDIO THORACIC & VASCULAR CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "813-779-9500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME88294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.