CARDIO TERRA LTD NPI 1194155135

NPI Information

NPI: 1194155135
Provider Name: CARDIO TERRA, LTD
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4112 MONROE RD
CELINA, OH
ZIP 45822
Phone: (567) 890-9000
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CARDIO TERRA, LTD is a cardiovascular disease internal medicine in Celina, OH. 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. CARDIO TERRA, LTD NPI is 1194155135. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4112 MONROE RD
CELINA, OH
ZIP 45822-250
Phone: (567) 890-9000
Fax: (567) 890-9009

The provider's authorized official is Jerry Joe Boley .
The authorized official title is Member and has the following contact phone number (614) 850-0081.

The enumeration date for this NPI number is 11/12/2013 and was last updated on 1/8/2014.

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			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	0803838	MEDICARE PIN
2	307108	MEDICAID	OHIO

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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