KENTUCKY HEART INSTITUTE NPI 1053559617

NPI Information

NPI: 1053559617
Provider Name: KENTUCKY HEART INSTITUTE

Other Name: COMPREHENSIVE HEART & VASCULAR ASSOCIATES

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
613 23RD ST
SUITE G-10
ASHLAND, KY
ZIP 41101
Phone: (606) 329-1997
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KENTUCKY HEART INSTITUTE is a cardiovascular disease internal medicine in Ashland, 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. KENTUCKY HEART INSTITUTE NPI is 1053559617. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Comprehensive Heart & Vascular Associates.

The provider's business location address is:

613 23RD ST
SUITE G-10
ASHLAND, KY
ZIP 41101-878
Phone: (606) 329-1997

The provider's authorized official is Sara Marks .
The authorized official title is Administrator and has the following contact phone number (606) 324-4745.

The enumeration date for this NPI number is 2/4/2009 and was last updated on 7/26/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	TP119	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	6446P	KENTUCKY	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology			No
4	207RC0000X	Internal Medicine	Cardiovascular Disease			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
1	3810014608	MEDICAID	WEST VIRGINIA
2	7100084230	MEDICAID	KENTUCKY
3	9379841	MEDICARE PIN	OHIO
4	2972369	MEDICAID	OHIO
5	00788	MEDICARE PIN	KENTUCKY

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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