Treasure Coast Cardiology PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME70365 Issued in FL

Legal business name

TREASURE COAST CARDIOLOGY PA

Practice address

1713 Hwy 441 N Suite B
Okeechobee, FL 34972

Phone

(863) 467-9400

Fax

(863) 467-8708

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Shakoor A. Arain, MDNPI 1801874904

Title

President

Phone

(863) 467-9400

Specialties & licenses 1

Addresses

Other identifiers 1

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 2

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

• Shakoor A Arain, M.D.

  • Specialist
  • Okeechobee, FL
  • NPI 1801874904
  Medicare reassignment Care Compare group NPD Authorized official
• Darby B Morgan, ARNP

  • Family Nurse Practitioner
  • Okeechobee, FL
  • NPI 1427701606
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1720108210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 HWY 441 N SUITE B",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-467-9400",
            "fax_number": "863-467-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 HWY 441 N SUITE B",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "34972",
            "telephone_number": "863-467-9400",
            "fax_number": "863-467-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURE COAST CARDIOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "ARAIN",
        "authorized_official_first_name": "SHAKOOR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-467-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME70365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250073600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elisha Tillman, CASE MANAGER
• TLC on Sunset Corp
• Tnaeemmd LC
• Alexis Tomczyk, DC
• Raquel Torres, APRN
• Treasure Coast Medical Associates
• Treasure Coast Mobile Podiatry LLC
• Treasure Coast Therapeutics
• Trinidad E Garcia MD
• Triveno Dialysis, LLC

• Cardiovascular Disease Physician in Okeechobee, FL
• Providers in Okeechobee, 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 Jun 24, 2010; 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.