Advanced Heart and Vascular Medicine, Inc.

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

ADVANCED HEART AND VASCULAR MEDICINE, INC.

Practice address

1355 S International Pkwy
Suite 1481
Lake Mary, FL 32746-1694

Phone

(407) 804-9199

Fax

(407) 804-9393

NPI assigned

Feb 26, 2014

Last updated

May 16, 2014By 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

Basiem William Barsoum, MD

Title

President

Phone

(407) 804-9199

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1790100873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951989",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327951989",
            "telephone_number": "407-804-9199",
            "fax_number": "407-804-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S INTERNATIONAL PKWY",
            "address_2": "SUITE 1481",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461694",
            "telephone_number": "407-804-9199",
            "fax_number": "407-804-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEART AND VASCULAR MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "BARSOUM",
        "authorized_official_first_name": "BASIEM",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-804-9199",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adebola Kafayat Adegbenro, APRN
• Ogechukwu Adekweh
• Monica Adhav
• Advanced Endodontics of Lake Mary (Advanced Endodontics)
• Advanced Healthcare Staffing Solutions, LLC
• Advanced Pelvic Health Solutions LLC.
• Advanced Pelvic Health Solutions LLC.
• Advantage Care Solutions Inc
• Adventist Health System-Sunbelt, Inc (Adventhealth Lake Mary ER)
• Adventist Health System/Sunbelt Inc. (AdventHealth Centra Care - Lake Mary)

• Interventional Cardiology Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Interventional Cardiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.