CARDIOVASCULAR CONSULTANTS OF KENTUCKY LLC NPI 1902140791

NPI Information

  • NPI: 1902140791
  • Provider Name: CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • Address: 191 WAL MART WAY
    MAYSVILLE, KY
    ZIP 41056
  • Phone: (859) 744-0263

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NPI Details

CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC is a cardiovascular disease internal medicine in Maysville, 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. CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC NPI is 1902140791. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

191 WAL MART WAY
MAYSVILLE, KY
ZIP 41056-518
Phone: (859) 744-0263
Fax: (859) 745-0836

The provider's authorized official is Mathew K Shotwell .
The authorized official title is Owner/physician and has the following contact phone number (859) 744-0263.

The enumeration date for this NPI number is 11/16/2012 and was last updated on 10/16/2015.

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
1363LF0000XNurse PractitionerFamily3007563KENTUCKYNo
2363A00000XPhysician AssistantPA562KENTUCKYNo
3207RC0000XInternal MedicineCardiovascular Disease35596KENTUCKYYes

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
1K091640MEDICARE PINKENTUCKY
20078741MEDICAIDOHIO
37100240350MEDICAIDKENTUCKY

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: 11/21/2025

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