NPIMap

Organization Active NPI

PMG Cardiology Inc

  • Pediatric Cardiology Physician
  • Sunrise, FL
National Provider Identifier
1972522100
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
PMG CARDIOLOGY INC
Practice address
1301 Concord Ter
Sunrise, FL 33323-2843
Phone
(954) 384-0175
Fax
(954) 851-1948
NPI assigned
Jul 19, 2006
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Alan B. Oliver
Title
Authorized Signator
Phone
(954) 384-0175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0202X Primary

Addresses

Primary practice location

1301 Concord Ter
Sunrise, FL 33323-2843

Mailing address

1301 Concord Ter
Sunrise, FL 33323-2843
Phone (954) 384-0175

National Provider Directory

National Provider Directory

Locations

1356 State Road 60 E
Lake Wales, FL 33853
Phone (863) 679-8888

557 N Wymore Rd
Ste 201
Maitland, FL 32751

1341 Medical Park Dr
Ste 102
Melbourne, FL 32901
Phone (321) 728-0696

Practitioners & affiliated clinicians

Practitioners 10

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1972522100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "954-384-0175",
            "fax_number": "954-851-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CONCORD TER",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232843",
            "telephone_number": "954-384-0175",
            "fax_number": "954-851-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMG CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATOR",
        "authorized_official_telephone_number": "954-384-0175"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.