CITRUS CARDIOVASCULAR ASSOCIATES PL (NPI# 1801839683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801839683 |
| Entity Type | Organization |
| Organization Name | CITRUS CARDIOVASCULAR ASSOCIATES PL |
| Practice Address |
131 S Citrus Ave Suite 305 Inverness FL 34452-4701 |
| Mailing Address |
700 Doctors Ct Leesburg FL 34748-7314 |
| Practice Telephone | 3526370211 |
| Practice Fax Number | 3526375733 |
| Mailing Telephone | 3527879838 |
| Mailing Fax Number | 3527878705 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-06-05 |
| Authorized Official Name | TREVA D. WIDDIS (ADMINISTRATOR) |
| Authorized Official Telephone | 3527879838 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 269248100 | 05 | |
| FL | BCBS OF FLORIDA | 34906 | 01 |
| Street Address |
131 S CITRUS AVE SUITE 305 |
| City | INVERNESS |
| State | FL |
| Zip Code | 34452-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417930926 | Michael R Lamarche | Internal Medicine | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2005-11-29 |
| 1427358621 | Citrus Memorial Health Foundation Inc | Family Medicine | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2010-10-22 |
| 1922337732 | Wound Care Consultants Pa | Surgery | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2009-12-08 |
| 1215139381 | Lydia Valladares Wallace | Family Medicine | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2007-06-01 |
| 1912049628 | Todd Sisto Md Pa | Specialist | 131 S Citrus Ave, Suite 307, Inverness, FL 34452-4701 | 2007-02-12 |
| 1366505786 | Karen Marie Nieradka | Physician Assistant | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2006-12-18 |
| 1578595484 | Stephen Paul Johnson | Nurse Anesthetist, Certified Registered | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2006-07-07 |
| 1811929730 | Nancy Connor | Nurse Anesthetist, Certified Registered | 131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452-4701 | 2006-07-07 |
| 1689603417 | Jacque A Goulet | Nurse Anesthetist, Certified Registered | 131 S Citrus Ave, Suite 2, Pod 4, Inverness, FL 34452-4701 | 2006-07-02 |
| 1013966530 | P Kenneth Newman Md Pa | Anesthesiology | 131 S Citrus Ave, Inverness, FL 34452-4701 | 2006-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528680204 | Medical Risk Solutions LLC | Family Medicine | 216-c South Apopka Ave., Inverness, FL 34452 | 2020-05-15 |
| 1801354204 | Mari Parker | Nurse Practitioner | 520 W Highland Blvd, Inverness, FL 34452 | 2019-03-05 |
| 1346737061 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 211 South Seminole Ave, Inverness, FL 34452 | 2018-04-18 |
| 1548779846 | Alexandra Weinmann | Behavior Technician | 6765 E Kingsbury Lane, Inverness, FL 34452 | 2017-09-29 |
| 1821536913 | Mechelle Louise Lewis | Nurse Practitioner | 212 S. Pine Avenue, Inverness, FL 34452 | 2017-02-08 |
| 1639615131 | Elizabeth Lynch | Behavioral Analyst | 609 Goodyear Ave, Inverness, FL 34452 | 2017-01-09 |
| 1942511100 | Families Come First, LLC | In Home Supportive Care | 220 S Pine Ave, Invenress, FL 34452 | 2010-06-23 |
| 1639342470 | Assisted Living Concepts Inc | Assisted Living Facility | 700 Medical Court East, Inverness, FL 34452 | 2008-04-11 |
| 1063684686 | Winn-dixie Stores, Inc. | Durable Medical Equipment & Medical Supplies | 333 Highland Ave Space 600, Inverness, FL 34452 | 2008-03-25 |
| 1831372606 | Gira S. Shah, Md, Pa | Internal Medicine | 203 S. Seminole Ave, Inverness, FL 34452 | 2007-12-14 |
| Find all providers in zip 34452 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003178518 | James Michael Torres | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 144 Highland Rd, Inverness, IL 60067-4409 | 2012-06-11 |
| 1902832819 | Peter Y. Kim | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 131 S Citrus Ave Ste 302, Inverness, FL 34452-4701 | 2006-06-23 |
| 1437268133 | James J Otto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 403 W Highland Blvd, Inverness, FL 34452-4717 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765898 | Leonardo Andrade Mulinari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1120 Nw 14th St Ofc 462, Miami, FL 33136-2107 | 2020-09-21 |
| 1093344376 | Jupiter Medical Center Physicians Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1002 S Old Dixie Hwy Ste 101, Jupiter, FL 33458-7202 | 2020-04-07 |
| 1720581937 | John J Dunning | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12901 Bruce B Downs Blvd # 62, Tampa, FL 33612-4742 | 2018-03-14 |
| 1871020545 | Nicholas James Sears | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 450 Knights Run Ave, Suite 1406, Tampa, FL 33602-6300 | 2017-05-12 |
| 1124410857 | Miami Vein Clinics Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8549 Coral Way, Miami, FL 33155-2335 | 2015-03-04 |
| 1861884595 | Usa Vascular Centers of Miami Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1711 E Hallandale Beach Blvd, Hallandale Beach, FL 33009-4621 | 2015-03-04 |
| 1568861995 | Modesto Peralta Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 423 W Fenway Dr, Hernando, FL 34442-5144 | 2014-08-21 |
| 1477982197 | Paul Kurlansky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2755 N Bay Rd, Miami Beach, FL 33140-4264 | 2013-11-04 |
| 1184063521 | Walter Smithwick IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4708 Prince Edward Rd, Jacksonville, FL 32210-8118 | 2013-06-19 |
| 1023451937 | Leonard R. Levy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1121 Crandon Blvd, F-701, Key Biscayne, FL 33149-2755 | 2013-04-10 |
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| 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.