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MEDICAL CENTER CARDIOLOGISTS PSC NPI 1831300797


NPI Information

NPI: 1831300797
Provider Name: MEDICAL CENTER CARDIOLOGISTS, PSC
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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MEDICAL CENTER CARDIOLOGISTS, PSC 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. MEDICAL CENTER CARDIOLOGISTS, PSC NPI is 1831300797. 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 5/24/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional CardiologyNo
2207UN0901XNuclear MedicineNuclear CardiologyNo
3363AM0700XPhysician AssistantMedicalNo
4363LA2100XNurse PractitionerAcute CareNo
5363LF0000XNurse PractitionerFamilyNo
6207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
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
1W00046MEDICARE UPIN

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

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