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COMMONWEALTH CARDIOLOGISTS PSC NPI 1144231465


NPI Information

NPI: 1144231465
Provider Name: COMMONWEALTH CARDIOLOGISTS PSC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
210 E GRAY ST
SUITE 1002
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-2029
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COMMONWEALTH CARDIOLOGISTS PSC is a cardiovascular disease internal medicine in Louisville, KY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. COMMONWEALTH CARDIOLOGISTS PSC NPI is 1144231465. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

210 E GRAY ST
SUITE 1002
LOUISVILLE, KY
ZIP 40202-900
Phone: (502) 584-2029
Fax: (502) 584-0873

The provider's authorized official is John T Mcclanahan .
The authorized official title is Practice Manager and has the following contact phone number (502) 584-2029.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 9/2/2008.


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
1363L00000XNurse PractitionerNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes

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
11050407OTHERKENTUCKYKY GROUP PASSPORT
2890680MEDICARE ID-TYPE UNSPECIFIEDINDIANAIN GROUP MEDICARE
365919896MEDICAIDKENTUCKY
42314MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYKY GROUP MEDICARE
5100019450MEDICAIDINDIANA
6CB1222MEDICARE ID-TYPE UNSPECIFIEDGROUP RAILROAD MEDICARE
72432852000OTHERKENTUCKYKY PASSPORT ADVANTAGE

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

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