Active NPI
Cardiac Interpretation Billing Service LLC
- Specialist
- Winter Haven, FL
National Provider Identifier
1801065883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME64020
- Legal business name
- CARDIAC INTERPRETATION BILLING SERVICE LLC
- Practice address
- 350 1St St N
Winter Haven, FL 33881-4113 - Phone
- (863) 294-5505
- Fax
- (863) 299-5660
- NPI assigned
- Feb 25, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kollagunta S Chandrasekhar, M.D.
- Title
- Owner / President
- Phone
- (863) 294-5505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME64020 | FL | Primary |
Addresses
Primary practice location
350 1St St N
Winter Haven, FL 33881-4113
Mailing address
350 1St St N
Winter Haven, FL 33881-4113
Phone (863) 294-5505
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Winter Haven, FL
- NPI 1669479226
-
- Interventional Cardiology Physician
- Thomasville, GA
- NPI 1194734301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438819200000",
"number": "1801065883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814113",
"telephone_number": "863-294-5505",
"fax_number": "863-299-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 1ST ST N",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338814113",
"telephone_number": "863-294-5505",
"fax_number": "863-299-5660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC INTERPRETATION BILLING SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2015-08-06",
"status": "A",
"authorized_official_last_name": "CHANDRASEKHAR",
"authorized_official_first_name": "KOLLAGUNTA",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER / PRESIDENT",
"authorized_official_telephone_number": "863-294-5505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME64020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.