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CARDIAC CARE CENTER OF LOUISVILLE PLLC NPI 1285622779


NPI Information

NPI: 1285622779
Provider Name: CARDIAC CARE CENTER OF LOUISVILLE, PLLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
100 MALLARD CREEK RD
SUITE 150
LOUISVILLE, KY
ZIP 40207
Phone: (502) 721-9117
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CARDIAC CARE CENTER OF LOUISVILLE, PLLC is a cardiovascular disease internal medicine in Louisville, 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. CARDIAC CARE CENTER OF LOUISVILLE, PLLC NPI is 1285622779. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 MALLARD CREEK RD
SUITE 150
LOUISVILLE, KY
ZIP 40207-194
Phone: (502) 721-9117
Fax: (502) 721-9131

The provider's authorized official is Jesse E Adams .
The authorized official title is President and has the following contact phone number (502) 585-4321.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 11/12/2007.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207UN0901XNuclear MedicineNuclear CardiologyNo
4363AM0700XPhysician AssistantMedicalNo
5363LA2100XNurse PractitionerAcute CareNo
6363LF0000XNurse PractitionerFamilyNo
7207RC0000XInternal MedicineCardiovascular DiseaseYes

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
165901324MEDICAIDKENTUCKY
278902657MEDICAIDKENTUCKY
3X65858MEDICARE UPIN
495900494MEDICAIDKENTUCKY
56908MEDICARE PINKENTUCKY

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.