Northside Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME 47456 Issued in FL

Legal business name

NORTHSIDE CARDIOLOGY

Practice address

733 Cortaro Dr
Ruskin, FL 33573-6812

Phone

(813) 633-9700

Fax

(813) 633-9733

NPI assigned

Oct 7, 2006

Organization subpart

No

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

Authorized official

Name

Shahid Shafiq Malik, MDNPI 1306866058

Title

President

Phone

(813) 633-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Shahid Shafiq Malik, M.D.

  • Cardiovascular Disease Physician
  • Ruskin, FL
  • NPI 1306866058
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1891882007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17935 CACHET ISLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472703",
            "telephone_number": "813-633-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 CORTARO DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736812",
            "telephone_number": "813-633-9700",
            "fax_number": "813-633-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_middle_name": "SHAFIQ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-633-9700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME 47456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD9832",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Lynn Nigro, APRN, PMHNP-BC
• Alicia A Nixon, PT BCB PMD
• Ray Nick Nixon Jr., PTA
• Natacha Noel
• Maryse Noreau
• Jovonne Norton
• Nicole O'Connor, AGPCNP
• Lashaunda Okafor, PMHNP-BC
• Raquel E Oliva, RBT
• Judith Dianne Onyancha

• Cardiovascular Disease Physician in Ruskin, FL
• Providers in Ruskin, 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 Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.