Active NPI
Viera Heart and Vascular Clinic LLC
- Cardiovascular Disease Physician
- Rockledge, FL
National Provider Identifier
1912312497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- VIERA HEART AND VASCULAR CLINIC LLC
- Practice address
- 3361 Thurloe Dr
Rockledge, FL 32955-6063 - Phone
- (804) 677-8956
- NPI assigned
- Jun 24, 2014
- 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
- Hong Sun Jeong, MD
- Title
- President
- Phone
- (804) 677-8956
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
3361 Thurloe Dr
Rockledge, FL 32955-6063
Mailing address
8095 Spyglass Hill Rd
Melbourne, FL 32940-8290
Phone (804) 677-8956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1706 Berglund Ln
Melbourne, FL 32940
Phone (321) 421-7525
1706 Berglund Ln
Ste 101
Melbourne, FL 32940
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGHHAD
- https://fhir4.healow.com/fhir/r4/HFHHCA
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Melbourne, FL
- NPI 1467663872
Cardiovascular Disease
-
- Family Nurse Practitioner
- Melbourne, FL
- NPI 1770954836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1411084800000",
"number": "1912312497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8095 SPYGLASS HILL RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329408290",
"telephone_number": "804-677-8956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3361 THURLOE DR",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329556063",
"telephone_number": "804-677-8956"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIERA HEART AND VASCULAR CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2014-09-19",
"status": "A",
"authorized_official_last_name": "JEONG",
"authorized_official_first_name": "HONG",
"authorized_official_middle_name": "SUN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-677-8956",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockledge, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.