Provider Type Icon

ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA NPI 1366478109


NPI Information

NPI: 1366478109
Provider Name: ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA

Doing Business As: PEDIATRIC CARDIOLOGY ASSOCIATES

Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
840 DR MLKING JR ST NO
400
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 767-4200
Get Directions

ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA is a pediatric cardiology pediatrics in St Petersburg, FL. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. ASANTE-KORANG EDWARDS GIROUD MARTINEZ MCCORMACK & SUH MD PA NPI is 1366478109. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Cardiology Associates.

The provider's business location address is:

840 DR MLKING JR ST NO
400
ST PETERSBURG, FL
ZIP 33705
Phone: (727) 767-4200
Fax: (727) 767-8047

The provider's authorized official is Jorge Mccormack .
The authorized official title is Chief Executive Officer and has the following contact phone number (727) 767-4200.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 7/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric CardiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
121826MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.