Provider Type Icon

SALEM CARDIOVASCULAR ASSOCIATES PC NPI 1134152374


NPI Information

NPI: 1134152374
Provider Name: SALEM CARDIOVASCULAR ASSOCIATES, PC

Doing Business As: SALEM CARDIOLOGY ASSOCIATES, PC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
885 MISSION STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 585-5585
Get Directions

SALEM CARDIOVASCULAR ASSOCIATES, PC is a specialist in Salem, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SALEM CARDIOVASCULAR ASSOCIATES, PC NPI is 1134152374. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Salem Cardiology Associates, Pc.

The provider's business location address is:

885 MISSION STREET SE
SALEM, OR
ZIP 97302
Phone: (503) 585-5585
Fax: (503) 399-1659

The provider's authorized official is James E Wasenmiller .
The authorized official title is President and has the following contact phone number (503) 585-5585.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 9/27/2011.


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
12086S0129XSurgeryVascular SurgeryNo
2208600000XSurgeryNo
3207RC0000XInternal MedicineCardiovascular DiseaseNo
4207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
5174400000XSpecialistOREGONYes

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
1000129MEDICAIDOREGON
2R100430MEDICARE PINOREGON
3R159991MEDICARE PINOREGON
4R159995MEDICARE PINOREGON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.