PROACTIVE HEART & VASCULAR PLLC NPI 1700973625

NPI Information

  • NPI: 1700973625
  • Provider Name: PROACTIVE HEART & VASCULAR, PLLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Former Legal Business Name: CARDIOLOGY ASSOCIATES OF MEMPHIS PLLC
  • CLIA Number: 04D2155020
  • Address: 7751 WOLF RIVER BLVD
    GERMANTOWN, TN
    ZIP 38138
  • Phone: (901) 297-4000

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NPI Details

PROACTIVE HEART & VASCULAR, PLLC is a cardiovascular disease internal medicine in Germantown, TN. 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. PROACTIVE HEART & VASCULAR, PLLC NPI is 1700973625. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Cardiology Associates Of Memphis Pllc.

The provider's business location address is:

7751 WOLF RIVER BLVD
GERMANTOWN, TN
ZIP 38138-706
Phone: (901) 297-4000
Fax: (901) 531-8344

The provider's authorized official is Michael Nelson .
The authorized official title is President and has the following contact phone number (901) 297-4000.

The CLIA number assigned to this NPI record is 04D2155020 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/21/2022.

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
1207RC0000XInternal MedicineCardiovascular DiseaseTENNESSEEYes

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: 3/30/2025

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