O Sambandam MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME33947 Issued in FL

Legal business name

O SAMBANDAM MD PA

Practice address

2400 Harbor Blvd
Suite 8
Port Charlotte, FL 33952-5052

Phone

(941) 627-0323

Fax

(941) 627-3853

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 2010By 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. O Sambandam, MD PA

Title

Owner

Phone

(941) 627-0323

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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.

• Odaiyappa Sambandam, M.D., FACC FCCP

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1184605404

  Cardiovascular Disease

  Medicare reassignment NPD

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1790091692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 8",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-627-0323",
            "fax_number": "941-627-3853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 8",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-627-0323",
            "fax_number": "941-627-3853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O SAMBANDAM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "SAMBANDAM",
        "authorized_official_first_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-627-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME33947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "O39846200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roselline Nunez, APRN
• Nurse Pro LLC
• Nursecore Management Services, LLC (Nursecore of Port Charlotte)
• Nursing Charlotte Home Health Care, Inc.
• Nytech Sleep Solutions, Inc.
• Amber O'Connor, FNP-C
• Cheryl A O'Donnell, PHD., ARNP, BC
• Brian O'Halloran, D.O.
• Daniel O'Leary, M.D.
• Kimberly O'Toole

• Cardiovascular Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, 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 Aug 30, 2010; 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.