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MONTGOMERY CARDIOVASCULAR ASSOCIATES P.C. NPI 1336179316


NPI Information

NPI: 1336179316
Provider Name: MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 01D0963826

Address:
273 WINTON M BLOUNT LOOP
MONTGOMERY, AL
ZIP 36117
Phone: (334) 280-1500
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MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. is a cardiovascular disease internal medicine in Montgomery, AL. 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. MONTGOMERY CARDIOVASCULAR ASSOCIATES, P.C. NPI is 1336179316. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

273 WINTON M BLOUNT LOOP
MONTGOMERY, AL
ZIP 36117-507
Phone: (334) 280-1500
Fax: (334) 280-1600

The provider's authorized official is Richard D Roney .
The authorized official title is Executive Director and has the following contact phone number (334) 280-1520.

The CLIA number assigned to this NPI record is 01D0963826 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 1/22/2020.


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
1207RC0000XInternal 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
1J658OTHERALABAMAMEDICARE COMMON PAY NUMBE
2I244OTHERALABAMAMEDICARE COMMON PAY NUMBE
3C137OTHERALABAMAMEDICARE COMMON PAY NUMBE
4I245OTHERALABAMAMEDICARE COMMON PAY NUMBE

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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