Provider Demographics
NPI:1942301825
Name:HEART ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:HEART ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLIENT MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANZONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-882-3459
Mailing Address - Street 1:P.O. BOX 20431
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2207
Mailing Address - Country:US
Mailing Address - Phone:410-882-3459
Mailing Address - Fax:410-882-1490
Practice Address - Street 1:1421 S. CATON AVE STE 101
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21227-1029
Practice Address - Country:US
Practice Address - Phone:410-646-5055
Practice Address - Fax:410-646-5055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD142501300Medicaid
MDCJO677OtherRAILROAD MEDICARE
MD142501300Medicaid
MDKN80Medicare PIN