Organization Active NPI

Pasco Cardiology Center Inc

  • Interventional Cardiology Physician
  • Hudson, FL
National Provider Identifier
1881686459
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
PASCO CARDIOLOGY CENTER INC
Practice address
14153 Yosemite Dr Ste 202
Hudson, FL 34667
Phone
(727) 868-5404
Fax
(727) 863-1787
NPI assigned
Aug 18, 2005
Last updated
Aug 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Authorized official

Name
Fong Mei Chang, MD
Title
President
Phone
(727) 868-5404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

14153 Yosemite Dr Ste 202
Hudson, FL 34667

Mailing address

14153 Yosemite Dr Ste 202
Hudson, FL 34667-6575
Phone (727) 868-5404

Other identifiers 1

IdentifierTypeStateIssuer
376848100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100521000811 FL Part B Supplier - Clinic/Group Practice 5799835898 Receives reassigned benefits from 5 practitioners
Practice locations: Hudson, FL; Trinity, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0973601Pasco Cardiology Center Inc14153 Yosemite Drive Suite 202, Hudson, FL 34667Certificate of waiverMay 9, 2028

National Provider Directory

National Provider Directory

Locations

14153 Yosemite Dr
Ste 202
Hudson, FL 34667
Phone (727) 868-5404

5307 Main St
Ste 102
New Pt Richey, FL 34652
Phone (727) 847-3733

3633 Little Rd
Ste 102
Trinity, FL 34655
Phone (727) 372-5952

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHEFCA

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1881686459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR STE 202",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346676575",
            "telephone_number": "727-868-5404",
            "fax_number": "727-863-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 YOSEMITE DR STE 202",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "34667",
            "telephone_number": "727-868-5404",
            "fax_number": "727-863-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASCO CARDIOLOGY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "FONG MEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-868-5404",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376848100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.