Heart Vascular and Vein of Tampa Bay LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

HEART VASCULAR AND VEIN OF TAMPA BAY LLC

Practice address

621 W Lumsden Rd
Brandon, FL 33511-5911

Phone

(813) 755-4500

Fax

(813) 755-3300

NPI assigned

May 27, 2020

Last updated

Jul 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hoshedar Tamboli, MD

Title

President

Phone

(813) 755-3500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 19

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.

• Heidi H Cook, APRN

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1124577887
  Medicare reassignment Care Compare group NPD
• Kerolos Fahmi, M.D.

  • Interventional Cardiology Physician
  • Brandon, FL
  • NPI 1063831261

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Lee Nguyen Phan, D.O.

  • Interventional Cardiology Physician
  • Brandon, FL
  • NPI 1487005138
  Medicare reassignment Care Compare group NPD
• Gayatri Seenanan, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Brandon, FL
  • NPI 1356225023
  Medicare reassignment Care Compare group NPD
• Corinna Stevens, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1437025665
  Medicare reassignment Care Compare group NPD
• Elsa Milagros Agurto Guanzon

  • Nurse Practitioner
  • Brandon, FL
  • NPI 1063995751
  Medicare reassignment NPD
• Nordica D Owens

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1871108589
  Medicare reassignment NPD
• Carlos Tod Pairazaman

  • Gerontology Nurse Practitioner
  • Brandon, FL
  • NPI 1922808286
  Medicare reassignment NPD
• Mitul V Patel, DO

  • Interventional Cardiology Physician
  • Hudson, FL
  • NPI 1689104341

  Cardiovascular Disease

  Medicare reassignment NPD
• Janette Renee Rector, RN BC FNP

  • Family Nurse Practitioner
  • Brandon, FL
  • NPI 1225033327
  Medicare reassignment NPD
• Marlene Diana Rodriguez, APRN

  • Gerontology Nurse Practitioner
  • Brandon, FL
  • NPI 1770236036
  Medicare reassignment NPD
• Jasmine Louise Soto, APRN

  • Family Nurse Practitioner
  • Palm Harbor, FL
  • NPI 1922889617
  Medicare reassignment NPD

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1518580307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1910",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335091910",
            "telephone_number": "813-755-3500",
            "fax_number": "813-755-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115911",
            "telephone_number": "813-755-4500",
            "fax_number": "813-755-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART VASCULAR AND VEIN OF TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "TAMBOLI",
        "authorized_official_first_name": "HOSHEDAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-755-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Scott Heaps, O.D.
• Brittany Erin Hearn, D.O.
• Heart & Vein Center PA
• Heart and Vascular Center of Brandon, PLLC
• Heart of God Crae Center
• Cary Lynn Heath
• Stacy Heath, SLP
• Yulieska Hechavarria Gonzalez
• Hechtman Surgical LLC
• Jill Levine Hechtman, M.D.

• Cardiovascular Disease Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.