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CARDIOLOGY & CRITICAL CARE CONSULTANTS INC NPI 1003887175


NPI Information

NPI: 1003887175
Provider Name: CARDIOLOGY & CRITICAL CARE CONSULTANTS INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3915 WATSON RD
SUITE 200
SAINT LOUIS, MO
ZIP 63109
Phone: (314) 781-8082
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CARDIOLOGY & CRITICAL CARE CONSULTANTS INC is a cardiovascular disease internal medicine in Saint Louis, MO. 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. CARDIOLOGY & CRITICAL CARE CONSULTANTS INC NPI is 1003887175. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3915 WATSON RD
SUITE 200
SAINT LOUIS, MO
ZIP 63109-251
Phone: (314) 781-8082

The provider's authorized official is Randy Johnson .
The authorized official title is Delegated Official and has the following contact phone number (314) 781-8082.

The enumeration date for this NPI number is 1/27/2006 and was last updated on 1/20/2010.


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 DiseaseR4A99MISSOURIYes

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
1IL2653MEDICARE PINILLINOIS
2502349004MEDICAIDMISSOURI
3000010960MEDICARE PINMISSOURI

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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