Mario J Lopez (NPI# 1710990882, PAC ID# 3375529225) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1710990882 |
| PAC ID by PECOS | 3375529225 |
| Professional Enrollment ID | I20041215000819 |
| Full Name | Mario J Lopez |
| Organization Legal Name | CHARLOTTE HEART AND VASCULAR INSTITUTE PA |
| Address |
25097 Olympia Ave Punta Gorda FL 33950-3912 |
| Phone Number | 9417645858 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3577549427 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100236 | FAWCETT MEMORIAL HOSPITAL |
| 100047 | BAYFRONT HEALTH PUNTA GORDA |
| 100077 | BAYFRONT HEALTH PORT CHARLOTTE |
| 100087 | SARASOTA MEMORIAL HOSPITAL |
| 100175 | DESOTO MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 14575 Tamiami Trl, Unit B, North Port, FL 34287-2729 | 9417645658 | CHARLOTTE HEART AND VASCULAR INSTITUTE PA |
| 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 9416291181 | CHARLOTTE HEART AND VASCULAR INSTITUTE PA |
| 21298 Olean Blvd, Port Charlotte, FL 33952-6705 | 9416291161 | WEST FLORIDA PROFESSIONAL BILLING LLC |
| 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 | 9417645858 | CHARLOTTE HEART AND VASCULAR INSTITUTE PA |
| 25097 Olympia Ave, Punta Gorda, FL 33950-3912 | 9417645858 | CHARLOTTE HEART AND VASCULAR INSTITUTE PA |
| Organization Legal Name | CHARLOTTE HEART AND VASCULAR INSTITUTE PA |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam T Aroyo | Nurse Practitioner | Charlotte Heart and Vascular Institute Pa | 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 |
| Robert Anthony Henning | Physician Assistant | Charlotte Heart and Vascular Institute Pa | 25097 Olympia Ave, Punta Gorda, FL 33950-3912 |
| Andrew L Obermeier | Physician Assistant | Charlotte Heart and Vascular Institute Pa | 2500 Harbor Blvd, Port Charlotte, FL 33952-5000 |
| Nicolai G Mejevoi | Cardiovascular Disease (cardiology) | Charlotte Heart and Vascular Institute Pa | 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 |
| Melody L Strattan | Cardiovascular Disease (cardiology) | Charlotte Heart and Vascular Institute Pa | 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 |
| Kristin A Garcia-miller | Nurse Practitioner | Charlotte Heart and Vascular Institute Pa | 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 |
| Ricardo R Martinez | Cardiovascular Disease (cardiology) | Charlotte Heart and Vascular Institute Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Sergio Fabian Cossu | Cardiac Electrophysiology | Charlotte Heart and Vascular Institute Pa | 21298 Olean Blvd, Port Charlotte, FL 33952-6705 |
| Jeffrey T Brumfield | Cardiac Electrophysiology | Charlotte Heart and Vascular Institute Pa | 3340 Tamiami Trl, Port Charlotte, FL 33952-8088 |
| John Robert Kuhns | Cardiovascular Disease (cardiology) | Charlotte Heart and Vascular Institute Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Street Address |
25097 OLYMPIA AVE |
| City | PUNTA GORDA |
| State | FL |
| Zip | 33950-3912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonelle Kristine Mcdonnell | Dermatology | Mcdonnell Dermatology LLC | 25097 Olympia Ave, Suite 202, Punta Gorda, FL 33950-3903 |
| Keith M Rubin | Family Medicine | 25097 Olympia Ave, Suite 203, Punta Gorda, FL 33950-3914 | |
| Jill E Stchur | Physician Assistant | Mcdonnell Dermatology LLC | 25097 Olympia Ave, Suite 202, Punta Gorda, FL 33950-3903 |
| Robert Anthony Henning | Physician Assistant | Charlotte Heart and Vascular Institute Pa | 25097 Olympia Ave, Punta Gorda, FL 33950-3912 |
| Nora A Davis | Nurse Practitioner | Mcdonnell Dermatology LLC | 25097 Olympia Ave, Suite 202, Punta Gorda, FL 33950-3903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Todd B Lang | Optometry | Todd B Lang Od Pa | 314 N Tamiami Tr, Suite 112, Punta Gorda, FL 33950 |
| Anne K Wharton | Nurse Practitioner | 450 Shreve St, Punta Gorda, FL 33950-3325 | |
| Joyce A Grace Leichliter | Chiropractic | 119 Taylor St, Punta Gorda, FL 33950-3654 | |
| Khaled A Temraz | Physical Therapy | 522 E Marion Ave, Punta Gorda, FL 33950-3803 | |
| Timothy A Janz | Internal Medicine | 522 E Marion Ave, Suite 201, Punta Gorda, FL 33950-3803 | |
| Kathleen M Auld | Physical Therapy | Kamipractics Inc | 522 E Marion Ave, Punta Gorda, FL 33950-3803 |
| Paul M Popper | Cardiovascular Disease (cardiology) | Paul M Popper Md Pa | 809 E Marion St, Punta Gorda, FL 33950-3819 |
| Stuart N Greenberg | Internal Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Chandra R Parsley | Nurse Practitioner | Florida Em-i Medical Services, Pa | 809 E Marion Ave, Punta Gorda, FL 33950-3819 |
| Lawrence R Bachle | Emergency Medicine | 809 E Marion Ave, Punta Gorda, FL 33950-3819 | |
| Find all physicians in zip 33950 | |||
| City | PUNTA GORDA |
| Zip Code | 33950 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PUNTA GORDA + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.