JASON ANDREW HECKENDORN (NPI# 1932549839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932549839 |
| Entity Type | Individual |
| Full Name | JASON ANDREW HECKENDORN |
| Credential | D.O. |
| Practice Address |
1540 S Tamiami Trl Ste 401 Sarasota FL 34239-2921 |
| Practice Telephone | 9419170060 |
| Practice Fax Number | 9415520316 |
| Mailing Telephone | 9419170060 |
| Mailing Fax Number | 9415520316 |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
OS16994 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
OS16994 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICAL LICENSE | OS16994 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28050 Grand River Ave, Farmington Hills, MI 483365919 | 2484718000 | |
| 600 Nokomis Ave S Ste 101, Venice, FL 342853209 | 9414858190 |
| Street Address |
1540 S TAMIAMI TRL STE 401 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731881 | Rosemary T. Haley | Nurse Practitioner | 1540 S Tamiami Trl Ste 401, Sarasota, FL 34239-2921 | 2005-09-21 |
| 1982269957 | Drew M. Harris | Physician Assistant | 1540 S Tamiami Trl Ste 401, Sarasota, FL 34239-2921 | 2019-05-06 |
| 1124501044 | Nancy Elizabeth Doty | Physician Assistant | 1540 S Tamiami Trl Ste 401, Sarasota, FL 34239-2921 | 2018-09-07 |
| 1124516810 | Oksana A Dovgopolyi | Nurse Practitioner | 1540 S Tamiami Trl Ste 401, Sarasota, FL 34239-2921 | 2018-04-27 |
| 1477969186 | Kristen Easey | Physician Assistant | 1540 S Tamiami Trl Ste 401, Sarasota, FL 34239-2921 | 2014-07-02 |
| 1720095904 | Jeanette Marie Billett | Internal Medicine | 1540 S Tamiami Trl Ste 401, Sarasota, FL 34239-2921 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| 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) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699317933 | Abid A Shah Md LLC | Internal Medicine | 5741 Bee Ridge Rd Ste 420, Sarasota, FL 34233-5081 | 2019-10-08 |
| 1487093787 | Jeffrey B. Sack, M.d., P.a. | Internal Medicine | 5741 Bee Ridge Rd Ste 260, Sarasota, FL 34233-5083 | 2013-06-19 |
| 1033174453 | Heart & Vascular Center of Sarasota Inc | Internal Medicine | 1851 Hawthorne Street, Sarasota, FL 34239-2945 | 2006-04-19 |
| 1316923147 | Jeffrey Brett Sack | Internal Medicine | 5471 Bee Ridge Rd, Suite 260, Sarasota, FL 34233 | 2005-12-22 |
| 1811369432 | Cardiovascular Specialists of Sarasota, Pa | Internal Medicine | 5741 Bee Ridge Rd, Sarasota, FL 34233-5064 | 2015-10-22 |
| 1013972421 | Cardiovascular Care of Sarasota Pa | Internal Medicine | 5741 Bee Ridge Rd, Suite 490, Sarasota, FL 34233-5064 | 2006-04-19 |
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| 1861004277 | Steve Malosky Md LLC | Internal Medicine | 900 Sw Saint Lucie Cres, Stuart, FL 34994-2842 | 2020-08-18 |
| 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 |
| 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 |
| 1013415371 | Cardiac Cin of Naples LLC | Internal Medicine | 8831 Business Park Dr Ste 301c, Fort Myers, FL 33912-2510 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
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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.