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CARDIOVASCULAR WELLNESS CENTER LLC NPI 1134564602


NPI Information

NPI: 1134564602
Provider Name: CARDIOVASCULAR WELLNESS CENTER, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
16605 STATE ROAD 23
SOUTH BEND, IN
ZIP 46635
Phone: (574) 387-5273
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CARDIOVASCULAR WELLNESS CENTER, LLC is a cardiovascular disease internal medicine in South Bend, IN. 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 WELLNESS CENTER, LLC NPI is 1134564602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16605 STATE ROAD 23
SOUTH BEND, IN
ZIP 46635-463
Phone: (574) 387-5273
Fax: (574) 855-3582

The provider's authorized official is Camron Caprarotta .
The authorized official title is Practice Manager and has the following contact phone number (574) 387-5273.

The enumeration date for this NPI number is 5/9/2013 and was last updated on 12/8/2016.


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

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.