Active NPI
Syed Hassan MD PA
- Internal Medicine Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME71461
- Legal business name
- SYED HASSAN MD PA
- Practice address
- 3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304 - Phone
- (941) 249-8493
- Fax
- (941) 249-8537
- NPI assigned
- Apr 7, 2014
- Last updated
- Aug 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Hassan, MD
- Title
- MD Owner
- Phone
- (941) 249-8493
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME71461 | FL | Primary |
Addresses
Primary practice location
3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304
Mailing address
3005 Caring Way
Units 2 and 3
Port Charlotte, FL 33952-5304
Phone (941) 249-8493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME71461 | Other | FL | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3524 Tamiami Trl
Unit K
Port Charlotte, FL 33952
Phone (941) 249-8493
2400 Harbor Blvd
Ste 20
Pt Charlotte, FL 33952
Phone (866) 714-5359
3005 Caring Way
Ste 2
Pt Charlotte, FL 33952
Phone (304) 615-6029
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDCGCA
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.
-
- Internal Medicine Physician
- Port Charlotte, FL
- NPI 1881687507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1467870451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 CARING WAY",
"address_2": "UNITS 2 AND 3",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525304",
"telephone_number": "941-249-8493",
"fax_number": "941-249-8537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 CARING WAY",
"address_2": "UNITS 2 AND 3",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339525304",
"telephone_number": "941-249-8493",
"fax_number": "941-249-8537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYED HASSAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-07",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "HASSAN",
"authorized_official_first_name": "SYED",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "941-249-8493",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME71461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "ME71461",
"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 Aug 19, 2014; 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.