PREMIER HEART AND VASCULAR CENTER, PA (NPI# 1417060229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417060229 |
| Entity Type | Organization |
| Organization Name | PREMIER HEART AND VASCULAR CENTER, PA |
| Practice Address |
38035 Medical Center Avenue Zephyrhills FL 33539 |
| Mailing Address |
Po Box 2709 Zephyrhills FL 33539-2709 |
| Practice Telephone | 8137881400 |
| Practice Fax Number | 8137887691 |
| Mailing Telephone | 8137881400 |
| Mailing Fax Number | 8137887691 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | SUNIL GUPTA (PARTNER) |
| Authorized Official Telephone | 8137881400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME78413 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
ME78413 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 257622800 | 05 |
| Street Address |
38035 MEDICAL CENTER AVENUE |
| City | ZEPHYRHILLS |
| State | FL |
| Zip Code | 33539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356430623 | Ketul Chauhan | Internal Medicine | 38035 Medical Center Avenue, Zephyrhills, FL 33540-1384 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558442103 | Carol Winifred Cormick | Marriage & Family Therapist | 1532 Us 41 North, Lutz, FL 33539 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194324715 | Shana Gober | Nurse Practitioner | 6509 Wagon Trail St, Zephyrhills, FL 33541-2557 | 2020-10-24 |
| 1760081749 | Hsre-ahr Zephyrhills LLC | Assisted Living Facility | 38130 Pretty Pond Road, Zephyrhills, FL 33540 | 2020-10-21 |
| 1821605817 | Momcierge, Inc. | Lactation Consultant, Non-RN | 3207 Mazie Dr, Zephyrhills, FL 33541-4747 | 2020-09-24 |
| 1962017475 | In Due Season Wellness Group LLC | Chiropractor | 5034 7th St, Zephyrhills, FL 33542-2132 | 2020-09-11 |
| 1487267217 | Pasco Senior Home Care LLC | Home Health | 6719 Gall Blvd Ste 104, Zephyrhills, FL 33542-2568 | 2020-08-31 |
| 1831700640 | Myriam Parham | Dietitian, Registered | 38233 Daughtery Rd, Zephyrhills, FL 33540-1485 | 2020-08-14 |
| 1215559018 | Jessica Marie Hinchman | Social Worker | 38644 Granger Ln, Zephyrhills, FL 33542-1682 | 2020-05-14 |
| 1366072951 | Elizabeth Ann Hale | Nurse Practitioner | 37922 Daughtery Rd Ste 4, Zephyrhills, FL 33541-1316 | 2020-01-22 |
| 1912543158 | Jessica Prince | Registered Nurse | 39006 Pattie Rd, Zephyrhills, FL 33540-3114 | 2019-11-22 |
| 1659917847 | Allison Delbridge | Occupational Therapist | 6244 Huntington Dr, Zephyrhills, FL 33542-0641 | 2019-11-21 |
| Find all providers in ZEPHYRHILLS | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326095894 | Vikas R Soma | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2006-05-28 |
| 1174521603 | Wali U Khan | Internal Medicine | 37914 Daughtery Rd, Zephyrhills, FL 33541-1316 | 2005-07-08 |
| 1689939910 | Sabry Ahmad Omar | Internal Medicine | 6833 Medical View Ln, Zephyrhills, FL 33542-6614 | 2012-07-12 |
| 1265759898 | Aalok Dilipkumar Patel | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540-1384 | 2010-04-21 |
| 1871783217 | Chetan Khamare | Internal Medicine | 38035 Medical Center Ave, Zephyrhills, FL 33540 | 2007-08-01 |
| 1275671745 | Bay Area Medical Clinic Pa | Internal Medicine | 37900 Daughtery Rd, Zephyrhills, FL 33541-1316 | 2007-02-04 |
| 1902950298 | Ramanath S Rao Md Pa | Internal Medicine | 37852 Medical Arts Ct, Zephyrhills, FL 33541-4325 | 2007-01-23 |
| 1356430623 | Ketul Chauhan | Internal Medicine | 38035 Medical Center Avenue, Zephyrhills, FL 33540-1384 | 2006-10-12 |
| 1659384964 | Vladimir Curkovic | Internal Medicine | 38135 Market Square, Zephyrhills, FL 33542 | 2006-08-15 |
| 1902812951 | Shafqat Farooqi | Internal Medicine | 38135 Market Square, Zephyrhills, FL 33542 | 2006-07-31 |
| Find all providers in ZEPHYRHILLS | ||||
| City | ZEPHYRHILLS |
| Zip Code | 33539 |
Please comment or provide details below to improve the information on PREMIER HEART AND VASCULAR CENTER, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.