NPIMap

Organization Active NPI

Bay Area Heart Center PA

  • Cardiovascular Disease Physician
  • St Petersburg, FL
National Provider Identifier
1972595205
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BAY AREA HEART CENTER PA
Practice address
5398 Park St N
St Petersburg, FL 33709-1041
Phone
(727) 544-1441
Fax
(727) 545-8263
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Authorized official

Name
Sandra Collier
Title
Administrator
Phone
(727) 544-1441

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

5398 Park St N
St Petersburg, FL 33709-1041

Mailing address

5398 Park St N
St Petersburg, FL 33709-1041
Phone (727) 544-1441

Other practice location 1

3600 66th St N
St Petersburg, FL 33710-1545
Phone (727) 410-4180

Other practice location 2

1201 7th Ave N
St Petersburg, FL 33705-1310
Phone (727) 544-1441

Other practice location 3

200 Clearwater Largo Rd N
Largo, FL 33770-2334
Phone (727) 544-1441

Other identifiers 1

IdentifierTypeStateIssuer
251949600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000621 FL Part B Supplier - Clinic/Group Practice 7416857180 Receives reassigned benefits from 23 practitioners
Practice locations: Largo, FL; Saint Petersburg, FL; St Petersburg, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2032061Bay Area Heart Center, PA5398 Park Street North, Saint Petersburg, FL 33709Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

300 Pinellas St
#19
Clearwater, FL 33756

200 Clearwater Largo Rd N
Largo, FL 33770
Phone (727) 544-1441

5398 Park St N
St Petersburg, FL 33709
Phone (727) 544-1441

4805 49th St N
St Petersburg, FL 33709
Phone (727) 526-6624

1201 7th Ave N
St Petersburg, FL 33705
Phone (727) 544-1441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15915/brand/3/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1972595205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5398 PARK ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337091041",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 66th St N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337101545",
            "country_code": "US",
            "telephone_number": "727-410-4180",
            "fax_number": "727-456-1107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 7th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051310",
            "country_code": "US",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Clearwater Largo Rd N",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337702334",
            "country_code": "US",
            "telephone_number": "727-544-1441",
            "fax_number": "727-545-8263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAY AREA HEART CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-544-1441"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251949600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.