CARDIOLOGY PHYSICIANS MEMORIAL, LLC (NPI# 1740559855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740559855 |
| Entity Type | Organization |
| Organization Name | CARDIOLOGY PHYSICIANS MEMORIAL, LLC |
| Practice Address |
305 Memorial Medical Pkwy Suite 301 Daytona Beach FL 32117-5168 |
| Practice Telephone | 3865776361 |
| Mailing Telephone | 3865776361 |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | JOHN LUTZ (ADMINISTRATOR) |
| Authorized Official Telephone | 3866151521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
FL | Allopathic & Osteopathic Physicians |
| Street Address |
305 MEMORIAL MEDICAL PKWY SUITE 301 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32117-5168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838545 | Christopher Allen Grove | Surgery | 305 Memorial Medical Pkwy, Suite 201, Daytona Beach, FL 32117-5168 | 2005-08-15 |
| 1366077158 | Tom Vansteenkiste | Physical Therapist | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2020-03-12 |
| 1104301985 | Erika Roach | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2018-09-27 |
| 1033635271 | Eric Lup-sing Lo M. D., P.a. | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2017-08-18 |
| 1366991812 | Melissa Renae Clegg | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 301, Daytona Beach, FL 32117-5168 | 2016-09-26 |
| 1508218454 | Sherida Ann Hahn | Nurse Practitioner | 305 Memorial Medical Pkwy, Suite 502, Daytona Beach, FL 32117-5168 | 2016-07-04 |
| 1174992648 | Jennifer Lynn Matey | Physician Assistant | 305 Memorial Medical Pkwy, Suite 501, Daytona Beach, FL 32117-5168 | 2015-09-15 |
| 1538537378 | Adam Bergin | Physician Assistant | 305 Memorial Medical Pkwy, Suite 206, Daytona Beach, FL 32117-5168 | 2015-09-10 |
| 1346527470 | M I Lopez Md, Pa | Clinic/Center | 305 Memorial Medical Pkwy, Suite 303, Daytona Beach, FL 32117-5168 | 2011-11-03 |
| 1659658771 | Maria Isabel Lopez, Md, Pa | Clinic/Center | 305 Memorial Medical Pkwy, Suite 303, Daytona Beach, FL 32117-5168 | 2011-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
| 1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
| 1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
| 1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
| 1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
| 1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
| 1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
| 1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
| 1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
| 1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
| Find all providers in zip 32117 | ||||
| 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 |
|---|---|---|---|---|
| 1043488661 | Huijian James Wang | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2008-02-16 |
| 1225098981 | Kim Arlan Klancke | Internal Medicine | 655 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 | 2006-03-27 |
| 1417921701 | Humayun Jamidar | Internal Medicine | 311 N Clyde Morris Blvd Ste 320, Daytona Beach, FL 32114-2756 | 2006-02-14 |
| 1972591949 | Donald J. Stoner | Internal Medicine | 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2005-10-12 |
| 1164948360 | Heart Rhythm Specialists At Daytona LLC | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2017-08-18 |
| 1033635271 | Eric Lup-sing Lo M. D., P.a. | Internal Medicine | 305 Memorial Medical Pkwy, Daytona Beach, FL 32117-5168 | 2017-08-18 |
| 1871901793 | Florentino Alberto Lupercio Lopez | Internal Medicine | 305 Memorial Medical Pkwy Ste 300, Daytona Beach, FL 32117-5170 | 2014-07-23 |
| 1750514154 | Umang Lalit Shah | Internal Medicine | 695 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 | 2009-09-01 |
| 1487887295 | Vincent Glenn Peterson | Internal Medicine | 695 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 | 2009-08-26 |
| 1033340195 | Richard Steven Arnold | Internal Medicine | 303 North Clyde Morris Blvd., Halifax Health Medical Center, Daytona Beach, FL 32114-2709 | 2009-08-06 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32117 |
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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.