NPIMap

Organization Active NPI

Heart Associates PA

  • Cardiovascular Disease Physician
  • Crystal River, FL
National Provider Identifier
1770539173
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME0059848 Issued in FL
Legal business name
HEART ASSOCIATES PA
Practice address
5606 W. Norvell Bryant Hwy
Crystal River, FL 34429
Phone
(352) 795-9266
Fax
(352) 795-4879
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Mrs. Kristie Quesenberry
Title
Office Manager
Phone
(352) 795-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X ME0059848 FL Primary

Addresses

Primary practice location

5606 W. Norvell Bryant Hwy
Crystal River, FL 34429

Mailing address

5606 W. Norvell Bryant Hwy
Crystal River, FL 34429
Phone (352) 795-9266

Other identifiers 2

IdentifierTypeStateIssuer
99078OtherFLBCBS
279469100MedicaidFL

Other names 1

  • Ranganatha P. Potu, MD PA Former legal business name

National Provider Directory

National Provider Directory

Locations

5606 W Norvell Bryant Hwy
Crystal River, FL 34429
Phone (352) 795-9266

7955 S Suncoast Blvd
Ste B
Homosassa, FL 34446
Phone (352) 795-9266

8546 W Homosassa Trl
Ste 3
Homosassa, FL 34448
Phone (352) 621-3100

131 S Citrus Ave
Fl 2
Inverness, FL 34452
Phone (352) 341-2370

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1770539173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 W. NORVELL BRYANT HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-795-9266",
            "fax_number": "352-795-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 W. NORVELL BRYANT HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "34429",
            "telephone_number": "352-795-9266",
            "fax_number": "352-795-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "QUESENBERRY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "352-795-9266",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0059848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99078",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279469100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ranganatha P. Potu, MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.