Complete Cardiology Care, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME72993 Issued in FL

Legal business name

COMPLETE CARDIOLOGY CARE, P.A.

Practice address

1240 W Granada Blvd FL 2
Ormond Beach, FL 32174-5915

Phone

(386) 672-1023

Fax

(386) 263-2996

NPI assigned

Jun 24, 2008

Organization subpart

No

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

Authorized official

Name

Huijian James Wang, MDNPI 1043488661

Title

Owner

Phone

(386) 672-1023

Specialties & licenses 4

Addresses

Other names 1

• Eric L.S. Lo, MD., PA Former legal business name

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 10

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

• Huijian James Wang, MD

  • Cardiovascular Disease Physician
  • Ormond Beach, FL
  • NPI 1043488661
  Medicare reassignment Care Compare group NPD Authorized official
• Ajit Haldipur Janardhan, MD, PHD

  • Clinical Cardiac Electrophysiology Physician
  • Titusville, FL
  • NPI 1518172279
  Medicare reassignment Care Compare group NPD
• Udit Joshi, MD, FACC

  • Interventional Cardiology Physician
  • Altamonte Springs, FL
  • NPI 1073966982

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Florentino Alberto Lupercio Lopez, MD

  • Clinical Cardiac Electrophysiology Physician
  • Daytona Beach, FL
  • NPI 1871901793

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Hiren Patel, MD

  • Clinical Cardiac Electrophysiology Physician
  • Ormond Beach, FL
  • NPI 1184075319
  Medicare reassignment Care Compare group NPD
• Eric Lup Sing Lo, M.D.

  • Cardiovascular Disease Physician
  • Dunn, NC
  • NPI 1497782023

  FL

  Medicare reassignment Care Compare group NPD
• Ginger Crosby Riddle, P.A.

  • Physician Assistant
  • Gainesville, FL
  • NPI 1164704086
  Medicare reassignment Care Compare group
• Paul Bigenho, APRN

  • Family Nurse Practitioner
  • Ormond Beach, FL
  • NPI 1881390284
  Medicare reassignment NPD
• Amanda Seegobin, ARNP

  • Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1720539703
  Medicare reassignment NPD
• John Blake Holt, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Ormond Beach, FL
  • NPI 1932195385
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1851552665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291427",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321291427",
            "telephone_number": "386-672-1023",
            "fax_number": "386-263-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W GRANADA BLVD FL 2",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321745915",
            "telephone_number": "386-672-1023",
            "fax_number": "386-263-2996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Saxon Blvd",
            "address_purpose": "LOCATION",
            "city": "Orange City",
            "state": "FL",
            "postal_code": "327638313",
            "country_code": "US",
            "telephone_number": "386-672-1023",
            "fax_number": "386-263-2996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE CARDIOLOGY CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-24",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "HUIJIAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-672-1023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME72993",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME112914",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME101341",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ME72993",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric L.S. Lo, MD., PA",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Eric L.S. Lo, MD., PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.