ADVANCED HEART AND VASCULAR MEDICINE, INC. (NPI# 1790100873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790100873 |
Entity Type | Organization |
Organization Name | ADVANCED HEART AND VASCULAR MEDICINE, INC. |
Practice Address |
1355 S International Pkwy Suite 1481 Lake Mary FL 32746-1694 |
Mailing Address |
Po Box 951989 Lake Mary FL 32795-1989 |
Practice Telephone | 4078049199 |
Practice Fax Number | 4078049393 |
Mailing Telephone | 4078049199 |
Mailing Fax Number | 4078049393 |
Enumeration Date | 2014-02-26 |
Last Update Date | 2014-05-16 |
Authorized Official Name | BASIEM WILLIAM BARSOUM (PRESIDENT) |
Authorized Official Telephone | 4078049199 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
FL | Allopathic & Osteopathic Physicians |
Street Address |
1355 S INTERNATIONAL PKWY SUITE 1481 |
City | LAKE MARY |
State | FL |
Zip Code | 32746-1694 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598706442 | Balinder S Chahal | Psychiatry & Neurology | 1355 S International Pkwy, Ste.2491, Lake Mary, FL 32746-1696 | 2006-06-10 |
1760882617 | Neurology & Neurodiagnostics LLC | Psychiatry & Neurology | 1355 S International Pkwy, Suite 2451, Lake Mary, FL 32746-1694 | 2014-08-28 |
1174862882 | Rebecca C Villar | Clinical Neuropsychologist | 1355 S International Pkwy, Ste 2471, Lake Mary, FL 32746-1694 | 2013-02-01 |
1831421403 | Jorge Gomez Md Pa | Internal Medicine | 1355 S International Pkwy, 1451, Lake Mary, FL 32746-1694 | 2010-02-08 |
1942345624 | Balinder S. Chahal, Md. P.a. | Psychiatry & Neurology | 1355 S International Pkwy, Suite 2491, Lake Mary, FL 32746-1694 | 2007-02-21 |
1629151683 | Jacob K Agamasu Md Pa | Internal Medicine | 1355 S International Pkwy, Suite 1481, Lake Mary, FL 32746-1694 | 2006-10-23 |
1104909647 | Juan Ros-escalante | Psychiatry & Neurology | 1355 S International Pkwy, Suite 2451, Lake Mary, FL 32746-1694 | 2006-10-20 |
1396754172 | Jorge O Diaz Md Pa | Internal Medicine | 1355 S International Pkwy, Suite 1451, Lake Mary, FL 32746-1694 | 2006-08-07 |
1487663373 | Jorge O. Diaz | Internal Medicine | 1355 S International Pkwy, Suite 1451, Lake Mary, FL 32746-1694 | 2006-08-07 |
1194767467 | Balinder S. Chahal, Md., Pa | Psychiatry & Neurology | 1355 S International Pkwy, #2491, Lake Mary, FL 32746-1696 | 2006-06-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
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Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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1881212744 | North Broward Hospital District | Internal Medicine | 817 S University Dr Ste 104, Plantation, FL 33324-3345 | 2020-07-08 |
1821612821 | Satish Sivasankaran Md Pa | Internal Medicine | 5340 Gulf Dr Ste 101, New Port Richey, FL 34652-3922 | 2020-06-04 |
1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
1205329620 | Central Florida Cardiovascular Imaging Center, LLC | Internal Medicine | 1717 Mayo Dr, Tavares, FL 32778-4307 | 2018-06-11 |
1568953511 | Orlando Lopez-fernandez Jr. | Internal Medicine | 2800 Ponce De Leon Blvd Ste 1480, Coral Gables, FL 33134-6921 | 2018-05-25 |
1467959668 | Cardiology Practice Pa | Internal Medicine | 5051 Ashington Landing Dr, Tampa, FL 33647-3515 | 2018-04-12 |
1619476785 | Synergy Health Group LLC | Internal Medicine | 7828 Collins Grove Rd, Jacksonville, FL 32256-7175 | 2018-02-05 |
1114425477 | Cardiac Cin of Miami LLC | Internal Medicine | 2 S Biscayne Blvd Ste 3760c, Miami, FL 33131-1815 | 2018-01-31 |
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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.