PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC – NPI #1659039311
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC is a surgeon located in PORT CHARLOTTE, FL. NPPES has assigned the NPI number 1659039311 to PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC on November 30, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 4 years ago on May 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC below.

NPI Profile for
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

NPI Number
1659039311
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Doing Business As (dba): PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC
Primary location
2400 HARBOR BLVD STE 7
PORT CHARLOTTE, FL 33952-5038
Phone: (941) 766-5099 Fax: (941) 766-4884
Mailing address
PO BOX 689022
FRANKLIN, TN 37068-9022
Phone: (615) 465-7211 Fax:
Organization Subpart
No
Authorized Official
JENNIFER JACKSON
SR DIR PROV ENROLLMENT & ONBOARDING
Phone: (615) 465-3334
Updated
Certification Date
May 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for PORT CHARLOTTE HMA PHYSICIAN MANAGEMENT LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFLPENDING
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.