Mulugeta Fissha (NPI# 1790827715, PAC ID# 5890963458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
Nation Provider ID (NPI) | 1790827715 |
PAC ID by PECOS | 5890963458 |
Professional Enrollment ID | I20170626000855 |
Full Name | Mulugeta Fissha |
Organization Legal Name | THE CARDIOVASCULAR CENTER, P.A. |
Address |
910 Williston Park Point Suite 1000 Lake Mary FL 32746 |
Phone Number | 4078038028 |
Gender | M |
Graduation Year | 1998 |
Primary Specialty | INTERVENTIONAL CARDIOLOGY |
Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Group Practice PAC ID | 7810176393 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100161 | CENTRAL FLORIDA REGIONAL HOSPITAL |
100329 | OVIEDO MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 | 4078038028 | THE CARDIOVASCULAR CENTER, P.A. |
8300 Red Bud Lake Rd, Oviedo, FL 32765-6801 | 4078902273 | CENTRAL FLORIDA CARDIOLOGY INTERPRETATIONS LLC |
1401 S Seminole Blvd, Sanford, FL 32771-6743 | 9043962342 | CENTRAL FLORIDA CARDIOLOGY INTERPRETATIONS LLC |
4901 International Pkwy, Suite 1031, Sanford, FL 32771-8603 | 4078338028 | THE CARDIOVASCULAR CENTER, P.A. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 58% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 58% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 3% | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 9% | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 9% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 0% |
Organization Legal Name | THE CARDIOVASCULAR CENTER, P.A. |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wilberto L Lopez | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
Carlos P Grullon | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
Lawrence E Vallario | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
William J David | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
Street Address |
910 WILLISTON PARK POINT SUITE 1000 |
City | LAKE MARY |
State | FL |
Zip | 32746 |
Name | Specialty | Organization | Address |
---|---|---|---|
Wilberto L Lopez | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
Carlos P Grullon | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
Lawrence E Vallario | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
William J David | Cardiovascular Disease (cardiology) | The Cardiovascular Center, P.a. | 910 Williston Park Point, Suite 1000, Lake Mary, FL 32746 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stephen M Reed | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
Benjamin Golden Thomasson | Orthopedic Surgery | Florida Orthopaedic Associates Pa | 1337 S International Pkwy, Suite 1341, Lake Mary, FL 32746-1402 |
Robert Frances Love | Optometry | 1331 S International Pkwy, Suite 1271, Lake Mary, FL 32746-1405 | |
Jorge O Diaz | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
Rafael E Pena | Cardiac Electrophysiology | Jorge O Diaz Md Pa | 1331 S International Pkwy, Suite 1261, Lake Mary, FL 32746-1405 |
Mindy Ley | Physician Assistant | Mid-florida Dermatology Associates P.a. | 1325 S International Pkwy, Suite 2243, Lake Mary, FL 32746-1406 |
Raul E Tamayo | Internal Medicine | 1325 S International Pkwy, Suite 2241, Lake Mary, FL 32746-1406 | |
Enid F Burnett | Dermatology | Mid-florida Dermatology Associates P.a. | 1325 S International Pkwy, Suite 2243, Lake Mary, FL 32746-1406 |
Karuna Ahuja | Pulmonary Disease | 1319 S International Pkwy, Suite 1171, Lake Mary, FL 32746-1408 | |
Jefferson J Mennuti | Podiatry | 1319 S International Pkwy, Suite 1161, Lake Mary, FL 32746-1408 | |
Find all physicians in zip 32746 |
City | LAKE MARY |
Zip Code | 32746 |
Specialty | INTERVENTIONAL CARDIOLOGY |
City + Specialty | LAKE MARY + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Mulugeta Fissha.
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.