CAPITAL REGIONAL HEART ASSOCIATES, LLC (NPI# 1992043509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992043509 |
| Entity Type | Organization |
| Organization Name | CAPITAL REGIONAL HEART ASSOCIATES, LLC |
| Practice Address |
2631 Centennial Blvd Suite 200 Tallahassee FL 32308-0588 |
| Practice Telephone | 8506567265 |
| Mailing Telephone | 8506567265 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | MICKEY PICKLER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8505232117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2631 CENTENNIAL BLVD SUITE 200 |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-0588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902809932 | Joseph Carlton Baker | Internal Medicine | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0588 | 2005-05-23 |
| 1821645755 | Ashley Heath Matyjaszek | Nurse Practitioner | 2631 Centennial Blvd, Tallahassee, FL 32308-0588 | 2019-08-26 |
| 1508150012 | Cameron L Carroll | Radiology Practitioner Assistant | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0588 | 2011-06-01 |
| 1063745396 | Cassie Michelle Davis | Nurse Practitioner | 2631 Centennial Blvd, Ste 100, Tallahassee, FL 32308-0588 | 2009-09-18 |
| 1295969947 | Denise Anne Smith | Surgery | 2631 Centennial Blvd, Tallahassee, FL 32308-0588 | 2009-05-11 |
| 1225110679 | Cory Hutson Collins | Nurse Practitioner | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0588 | 2006-10-19 |
| 1417037193 | Robert S Brumberg | Surgery | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0588 | 2006-10-16 |
| 1407953771 | Vascular Surgery Associates, P.a. | Surgery | 2631 Centennial Blvd, Ste 100, Tallahassee, FL 32308-0588 | 2006-09-20 |
| 1104853241 | Amy Johnston Fraser | Nurse Practitioner | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0588 | 2006-06-26 |
| 1073540282 | Lawrence D Kaelin | Surgery | 2631 Centennial Blvd, Suite 100, Tallahassee, FL 32308-0588 | 2006-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1124236237 | Edward Warren Holifield | Internal Medicine | 4032 Longleaf Ct, Tallahassee, FL 32310-6424 | 2007-05-21 |
| 1780785709 | Earl B Britt | Internal Medicine | 1625 Physicians Dr, Tallahassee, FL 32308-4620 | 2006-09-25 |
| 1376560078 | Cardiology Associates of Tallahassee | Internal Medicine | 1626 Riggins Rd, Tallahassee, FL 32308-5316 | 2006-07-17 |
| 1356344543 | James Galt Allee | Internal Medicine | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2005-05-23 |
| 1902809932 | Joseph Carlton Baker | Internal Medicine | 2631 Centennial Blvd, Suite 200, Tallahassee, FL 32308-0588 | 2005-05-23 |
| 1356760763 | Julia Barry | Internal Medicine | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2014-04-14 |
| 1851739957 | Rami Khoury Abdulla | Internal Medicine | 1300 Medical Dr, Tallahassee, FL 32308 | 2013-06-11 |
| 1902249550 | Hussein Rayatzadeh | Internal Medicine | 1300 Medical Dr, Tallahassee, FL 32308 | 2013-04-14 |
| 1487932422 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 1300 Medical Dr, Tallahassee, FL 32308-4646 | 2011-07-25 |
| 1992009690 | Earl B. Britt, M.d., P.a. | Internal Medicine | 1625 Physicians Dr, Tallahassee, FL 32308-4620 | 2011-01-10 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on CAPITAL REGIONAL HEART ASSOCIATES, LLC.
| 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.