MEDICAL CENTER CARDIOLOGISTS PSC NPI 1760691604

NPI Information

NPI: 1760691604
Provider Name: MEDICAL CENTER CARDIOLOGISTS, PSC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1023 NEW MOODY LN
SUITE 101
LAGRANGE, KY
ZIP 40031
Phone: (502) 222-4551
Get Directions

MEDICAL CENTER CARDIOLOGISTS, PSC is a cardiovascular disease internal medicine in Lagrange, 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. MEDICAL CENTER CARDIOLOGISTS, PSC NPI is 1760691604. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1023 NEW MOODY LN
SUITE 101
LAGRANGE, KY
ZIP 40031-177
Phone: (502) 222-4551
Fax: (502) 222-5821

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 5/21/2007 and was last updated on 9/27/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	No
3	207UN0901X	Nuclear Medicine	Nuclear Cardiology	No
4	363AM0700X	Physician Assistant	Medical	No
5	363LA2100X	Nurse Practitioner	Acute Care	No
6	363LF0000X	Nurse Practitioner	Family	No
7	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	2454	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY	KY MEDICARE GRP
2	65908808	MEDICAID	KENTUCKY
3	78902632	MEDICAID	KENTUCKY
4	95900502	MEDICAID	KENTUCKY

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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