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CARDIOVASCULAR SPECIALISTS PSC NPI 1871512160


NPI Information

NPI: 1871512160
Provider Name: CARDIOVASCULAR SPECIALISTS PSC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
100 MALLARD CREEK RD
SUITE 150
LOUISVILLE, KY
ZIP 40207
Phone: (502) 589-7907
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CARDIOVASCULAR SPECIALISTS 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. CARDIOVASCULAR SPECIALISTS PSC NPI is 1871512160. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 MALLARD CREEK RD
SUITE 150
LOUISVILLE, KY
ZIP 40207-138
Phone: (502) 589-7907
Fax: (502) 589-1319

The provider's authorized official is Christodulos S Stavens .
The authorized official title is President and has the following contact phone number (502) 589-7907.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 6/30/2015.


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
1200208100MEDICAIDINDIANA
28749MEDICARE PINKENTUCKY
3CI7476OTHERINDIANARAILROAD MEDICARE
465931560MEDICAIDKENTUCKY
51093228OTHERKENTUCKYPASSPORT HEALTH PLAN
6CI6702OTHERKENTUCKYRAILROAD MEDICARE
7084820MEDICARE PININDIANA

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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