Organization Active NPI

Ki Hassler, DO, LLC

  • Cardiovascular Disease Physician
  • Venice, FL
National Provider Identifier
1508370909
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KI HASSLER, DO, LLC
Practice address
1215 Jacaranda Blvd
Venice, FL 34292
Phone
(941) 451-8282
Fax
(941) 451-8434
NPI assigned
Nov 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Ki Hassler, DO
Title
Owner
Phone
(941) 726-7316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1215 Jacaranda Blvd
Venice, FL 34292

Mailing address

1215 Jacaranda Blvd
Venice, FL 34292-4520

Other identifiers 1

IdentifierTypeStateIssuer
OS8522OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH

National Provider Directory

National Provider Directory

Locations

1215 Jacaranda Blvd
Venice, FL 34292
Phone (941) 451-8282

NPI Registry JSON

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1508370909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342924520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JACARANDA BLVD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "941-451-8282",
            "fax_number": "941-451-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KI HASSLER, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "HASSLER",
        "authorized_official_first_name": "KI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-726-7316",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OS8522",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.