NPIMap

Organization Active NPI

Heart & Vascular PLC

  • Cardiovascular Disease Physician
  • Lake Wales, FL
National Provider Identifier
1669554283
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME78466 Issued in FL
Legal business name
HEART & VASCULAR PLC
Practice address
1136 Bryn Mawr Ave
Lake Wales, FL 33853-4304
Phone
(863) 676-6296
Fax
(863) 676-6431
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Dr. Oji Joseph, MDNPI 1720080096
Title
President
Phone
(863) 676-6296

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME78466 FL Primary

Addresses

Primary practice location

1136 Bryn Mawr Ave
Lake Wales, FL 33853-4304

Mailing address

1136 Bryn Mawr Ave
Lake Wales, FL 33853-4304
Phone (863) 676-6296

Other names 1

  • POLK CARDIOVASCULAR SERVICES PLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070428000069 FL Part B Supplier - Clinic/Group Practice 8729184379 Receives reassigned benefits from 19 practitioners
Practice locations: Winter Haven, FL; Port St John, FL; Orlando, FL; Ocala, FL; Deland, FL; Davenport, FL; Lake Wales, FL

National Provider Directory

National Provider Directory

Locations

28 W Orange St
Davenport, FL 33837

101 Park Place Blvd
Davenport, FL 33837

7512 Dr Phillips Blvd
Ste 50-794
Orlando, FL 32819

1900 N Mills Ave
Unit 116
Orlando, FL 32803

17820 SE 109th Ave
Ste 100
Summerfield, FL 34491

1121 1st St S
Unit 116
Winter Haven, FL 33880

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1669554283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534304",
            "telephone_number": "863-676-6296",
            "fax_number": "863-676-6431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 BRYN MAWR AVE",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534304",
            "telephone_number": "863-676-6296",
            "fax_number": "863-676-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART & VASCULAR PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "OJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-676-6296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME78466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POLK CARDIOVASCULAR SERVICES PLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.