MUTTATHIL P RAVINDRA NATHAN MD PA (NPI# 1881627875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881627875 |
| Entity Type | Organization |
| Organization Name | MUTTATHIL P RAVINDRA NATHAN MD PA |
| Other Organization Name | HERNANDO HEART CLINIC |
| Practice Address |
14540 Cortez Blvd Suite 119 Brooksville FL 34613-6056 |
| Mailing Address |
3069 Anderson Snow Rd # 219 Spring Hill FL 34609-5202 |
| Practice Telephone | 3525973353 |
| Mailing Telephone | 3525973353 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-11-03 |
| Authorized Official Name | MUTTATHIL P RAVINDRA NATHAN (PRESIDENT) |
| Authorized Official Telephone | 3525973353 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 27591600 | 05 |
| Other Name | Type Code |
|---|---|
| Hernando Heart Clinic | Doing Business As Name - Organization |
| Street Address |
14540 CORTEZ BLVD SUITE 119 |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-6056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609873678 | Terrell B Bounds | Orthopaedic Surgery | 14540 Cortez Blvd, Suite 105, Brooksville, FL 34613-6056 | 2005-07-05 |
| 1063760775 | Leslie Carol Flynt | Nurse Practitioner | 14540 Cortez Blvd, Brooksville, FL 34613-6056 | 2012-08-28 |
| 1720359045 | Family Care Center of Brooksville, Pa | Clinic/Center | 14540 Cortez Blvd, Suite 118, Brooksville, FL 34613-6056 | 2012-01-18 |
| 1881984565 | Leavitt Medical Associates of Florida Inc | Dermatology | 14540 Cortez Blvd, Suite 115, Brooksville, FL 34613-6056 | 2011-04-14 |
| 1992014708 | Cardiology Specialists of Florida Pllc | Internal Medicine | 14540 Cortez Blvd, Ste 119, Brooksville, FL 34613-6056 | 2010-09-28 |
| 1477878197 | Suncoast Surgical LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 14540 Cortez Blvd, Suite 123, Brooksville, FL 34613-6056 | 2010-04-06 |
| 1164693537 | Syed Wajahat Ali Md Pa | Internal Medicine | 14540 Cortez Blvd, Suite # 116, Brooksville, FL 34613-6056 | 2008-03-13 |
| 1780864397 | Terrell B. Bounds Md.,pa | Orthopaedic Surgery | 14540 Cortez Blvd, Suite 105, Brooksville, FL 34613-6056 | 2007-11-12 |
| 1861609752 | Catherine L Lavicka | Nurse Practitioner | 14540 Cortez Blvd, Suite 115, Brooksville, FL 34613-6056 | 2007-05-17 |
| 1154484533 | Karen Wunderlich Md Pa | Clinic/Center | 14540 Cortez Blvd, Suite 102, Brooksville, FL 34613-6056 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| 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 |
|---|---|---|---|---|
| 1346276631 | Lingappa Amarchand | Internal Medicine | 750 Desoto Ave, Brooksville, FL 34601-2814 | 2006-06-25 |
| 1114925989 | Scott Frank Lee | Internal Medicine | 11373 Cortez Blvd Ste 301, Brooksville, FL 34613-5411 | 2005-07-14 |
| 1528589025 | Mitchell S Halperin M.d., P.a. | Internal Medicine | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2017-07-05 |
| 1144592007 | Abdelnasser Elmansoury Md Pa | Internal Medicine | 17222 Hospital Blvd, Suite 238, Brooksville, FL 34601-8925 | 2012-02-07 |
| 1316180409 | Good Shepherd Medical Clinic Pa | Internal Medicine | 11373 Cortez Blvd, Suite 209, Brooksville, FL 34613-5414 | 2009-04-20 |
| 1861660029 | V P Jeyabarath Md Pa | Internal Medicine | 17222 Hospital Blvd, Ste 116, Brooksville, FL 34601-8925 | 2008-02-11 |
| 1124215249 | Mowaffak Atfeh | Internal Medicine | 11373 Cortez Blvd, Suite 307, Brooksville, FL 34613-5414 | 2007-10-02 |
| 1225224686 | A M Eldin Md Pa | Internal Medicine | 12082 Cortez Blvd, Brooksville, FL 34613-7371 | 2007-09-19 |
| 1467586065 | Mowaffak Atfeh Md Pa | Internal Medicine | 11373 Cortez Blvd, Suite 307, Brooksville, FL 34613 | 2007-03-15 |
| 1538262332 | Oakhill Heart Associates | Internal Medicine | 11373 Cortez Blvd, Ste 200, Brooksville, FL 34613-5414 | 2006-09-07 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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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.