GREAT RIVER CARDIOLOGY INC NPI 1275960908

NPI Information

NPI: 1275960908
Provider Name: GREAT RIVER CARDIOLOGY, INC
Classification: Internal Medicine - 207RI0011X
Entity Type: Organization

Specialization: Interventional Cardiology

Address:
24700 CENTER RIDGE RD STE 220
WESTLAKE, OH
ZIP 44145
Phone: (440) 333-7315
Get Directions

GREAT RIVER CARDIOLOGY, INC is an interventional cardiology internal medicine in Westlake, OH. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. GREAT RIVER CARDIOLOGY, INC NPI is 1275960908. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

24700 CENTER RIDGE RD STE 220
WESTLAKE, OH
ZIP 44145-669
Phone: (440) 333-7315
Fax: (440) 808-8303

The provider's authorized official is Ashoka Nautiyal .
The authorized official title is Owner and has the following contact phone number (440) 333-7315.

The enumeration date for this NPI number is 9/26/2013 and was last updated on 4/17/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	35086804	OHIO	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	35086804	OHIO	No
3	207RI0011X	Internal Medicine	Interventional Cardiology	35086804	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0097959	MEDICAID	OHIO
2	2614371	MEDICAID	OHIO

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

NPI Synchronization or Removal

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