Cardiology Physicians, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CARDIOLOGY PHYSICIANS, P.A.

Practice address

311 N Clyde Morris Blvd
Suite 320
Daytona Beach, FL 32114-2781

Phone

(386) 255-5331

Fax

(386) 255-3723

NPI assigned

May 11, 2006

Last updated

Aug 17, 2018By 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

Humayun Jamidar, MDNPI 1417921701

Title

Vice President

Phone

(386) 255-5331

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cardiology Physicians PA

  • Specialist
  • Daytona Beach, FL
  • NPI 1538111513

  O20050706000339

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Humayun Jamidar, M.D.

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1417921701
  Medicare reassignment Care Compare group NPD Authorized official
• Otakar Quadrat, MD

  • Interventional Cardiology Physician
  • Daytona Beach, FL
  • NPI 1245286624
  Medicare reassignment Care Compare group NPD
• April Marie Shadeed, ARNP, FNP-C

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1932619129
  Medicare reassignment Care Compare group NPD
• David A Henderson, M.D.

  • Cardiovascular Disease Physician
  • Daytona Beach, FL
  • NPI 1750332250
  Medicare reassignment NPD
• Misty Dawn Pennington, APRN, FNP-BC

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1447831730

  Single Specialty

  Medicare reassignment NPD
• Sierra M Quintero, APRN

  • Family Nurse Practitioner
  • Daytona Beach, FL
  • NPI 1972140994
  Medicare reassignment NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1942250683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD",
            "address_2": "SUITE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142781",
            "telephone_number": "386-255-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N CLYDE MORRIS BLVD",
            "address_2": "SUITE 320",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142781",
            "telephone_number": "386-255-5331",
            "fax_number": "386-255-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY PHYSICIANS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "JAMIDAR",
        "authorized_official_first_name": "HUMAYUN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "386-255-5331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "060113602",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar F Carbonell, M.D.
• Julia Katherine Carbonneau, AUD
• Julie Marie Cardello, LCSW
• Cardiology Physicians Memorial, LLC
• Cardiology Physicians PA
• Donald Michael Cardone, M.D.
• Caremax Medical Centers of Central Florida, LLC
• Emily Renae Carey
• Salvatore Mark Caridi, D.O.
• Caring for Your Loved Ones, LLC

• Specialist in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.