Muttathil P Ravindra Nathan MD PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MUTTATHIL P RAVINDRA NATHAN MD PA

Doing business as

Hernando Heart Clinic

Practice address

14540 Cortez Blvd
Suite 119
Brooksville, FL 34613-6056

Phone

(352) 597-3353

NPI assigned

Jul 10, 2006

Last updated

Nov 3, 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

Muttathil P Ravindra Nathan, M.D.NPI 1700851813

Title

President

Phone

(352) 597-3353

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hernando Heart Clinic Doing business as

Locations

Practitioners 2

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.

• Muttathil P Ravindranathan, M.D.

  • Specialist
  • Brooksville, FL
  • NPI 1700851813
  NPD Authorized official
• Michael S Fenster, MD

  • Interventional Cardiology Physician
  • Watertown, SD
  • NPI 1720068471

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1881627875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ANDERSON SNOW RD # 219",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095202",
            "telephone_number": "352-597-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 CORTEZ BLVD",
            "address_2": "SUITE 119",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136056",
            "telephone_number": "352-597-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUTTATHIL P RAVINDRA NATHAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "RAVINDRA NATHAN",
        "authorized_official_first_name": "MUTTATHIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-597-3353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27591600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hernando Heart Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fanny Maritza Muniz, OD
• Jillian Munson, LMHC
• Hannah Edith Murray, OTR
• Kendall Murray, MS, RDN, LDN
• Adeeb Mustafa, MD
• Martha Myers
• Megen Myers, OTR/L
• Thomas Eugene Nadolny
• Vinaitheertha P Nagarajan, M.D.
• Muhammad Nashit, M.B.B.S.

• Cardiovascular Disease Physician in Brooksville, FL
• Providers in Brooksville, 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 Nov 3, 2010; 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.