CENTRUM CARDIOLOGY LTD NPI 1932396157

NPI Information

NPI: 1932396157
Provider Name: CENTRUM CARDIOLOGY, LTD

Former Legal Business Name: RANDOLPH S MARTIN, MD, SC

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
319 E MADISON ST STE 2D
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 546-0750
Get Directions

CENTRUM CARDIOLOGY, LTD is a cardiovascular disease internal medicine in Springfield, IL. 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. CENTRUM CARDIOLOGY, LTD NPI is 1932396157. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Randolph S Martin, Md, Sc.

The provider's business location address is:

319 E MADISON ST STE 2D
SPRINGFIELD, IL
ZIP 62701-120
Phone: (217) 546-0750
Fax: (217) 546-0894

The provider's authorized official is Randolph S. Martin .
The authorized official title is President and has the following contact phone number (217) 546-0750.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 7/21/2022.

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	036079474	ILLINOIS	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	036079474	MEDICAID	ILLINOIS
2	222623	OTHER	ILLINOIS	COVENTRY HEATH CARE
3	823599	OTHER	ILLINOIS	FIRST HEALTH
4	9683056002	OTHER	ILLINOIS	CIGNA
5	008092	OTHER	ILLINOIS	HEALTH ALLIANCE
6	133621	OTHER	ILLINOIS	HEALTHLINK, INC
7	P00140870	OTHER	ILLINOIS	RAILROAD MEDICARE
8	08432108	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

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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