Harbor Cardiology & Vascular Center PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0048592 Issued in FL

Legal business name

HARBOR CARDIOLOGY & VASCULAR CENTER PA

Practice address

1620 Tamiami Trail
Suite 300
Port Charlotte, FL 33948-4017

Phone

(941) 625-6187

Fax

(941) 625-7887

NPI assigned

Oct 17, 2006

Organization subpart

No

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

Authorized official

Name

Bala K Nandigam, MDNPI 1306879119

Title

President

Phone

(941) 625-6187

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 8

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

• Bala K Nandigam, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1306879119
  Medicare reassignment Care Compare group Authorized official
• Usha K Nandigam, M.D.

  • Internal Medicine Physician
  • Port Charlotte, FL
  • NPI 1356361729
  Medicare reassignment Care Compare group
• John Aloysius Dempsey III, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1528352192
  Medicare reassignment
• Chinnia Gnanashanmugam, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1114944642
  Medicare reassignment
• Mary Louise Harden, A.R.N.P.

  • Adult Health Nurse Practitioner
  • Port Charlotte, FL
  • NPI 1497746804
  NPD (past)
• Karen M Olson, APRN

  • Acute Care Nurse Practitioner
  • Sarasota, FL
  • NPI 1245250067
  NPD (past)
• Hiren K Patel, MD

  • Cardiovascular Disease Physician
  • Port Charlotte, FL
  • NPI 1114951225
  NPD (past)
• John G Guse, PA-C

  • Physician Assistant
  • Nellis Afb, NV
  • NPI 1013927961
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1922189018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD STE 12",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525038",
            "telephone_number": "941-625-6187",
            "fax_number": "941-625-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 TAMIAMI TRAIL",
            "address_2": "SUITE 300",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339484017",
            "telephone_number": "941-625-6187",
            "fax_number": "941-625-7887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR CARDIOLOGY & VASCULAR CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "NANDIGAM",
        "authorized_official_first_name": "BALA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-625-6187",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0048592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hansaraj Inc
• Hanson Clinical Research Center, Inc
• Lenita Hanson, MD
• Nandheesha Hanumanthappa, MD
• Harbor Blvd Emergency Physicians, LLC
• Harbor Counseling Services
• Harbor Hospitalists LLC
• Harbor Medical Group LLC
• Harbor Neurosurgical Associates PA
• Harborside Eye Specialists, P.a.

• Cardiovascular Disease Physician in Port Charlotte, FL
• Providers in Port Charlotte, 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 16, 2023; 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.