NPIMap

Organization Active NPI

Cardiac Care Specialists PA

  • Specialist
  • Orlando, FL
National Provider Identifier
1477566487
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIAC CARE SPECIALISTS PA
Practice address
7824 Lake Underhill Rd
Ste. E
Orlando, FL 32822-8201
Phone
(407) 273-2378
Fax
(407) 273-7868
NPI assigned
Aug 14, 2006
Last updated
Jul 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Brian D Kelly, D.O.NPI 1811985112
Title
President
Phone
(407) 273-2378

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7824 Lake Underhill Rd
Ste. E
Orlando, FL 32822-8201

Mailing address

7824 Lake Underhill Rd
Ste. E
Orlando, FL 32822-8201
Phone (407) 273-2378

National Provider Directory

National Provider Directory

Locations

2501 N Orange Ave
Ste 137
Orlando, FL 32804
Phone (407) 291-2440

7824 Lake Underhill Rd
Ste D
Orlando, FL 32822
Phone (407) 237-0888

7824 Lake Underhill Rd
Ste E
Orlando, FL 32822
Phone (407) 273-2378

Practitioners & affiliated clinicians

Practitioners 12

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1477566487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD",
            "address_2": "STE. E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-273-2378",
            "fax_number": "407-273-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7824 LAKE UNDERHILL RD",
            "address_2": "STE. E",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328228201",
            "telephone_number": "407-273-2378",
            "fax_number": "407-273-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CARE SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-273-2378",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.