Clinical Cardiology Specialists, LLC
Organization Active NPI Specialist · Middletown, DE
NPI 1003058009 · NPPES record last updated Aug 10, 2010
Key facts
- NPI
- 1003058009
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CLINICAL CARDIOLOGY SPECIALISTS, LLC
- Practice address
- 124 Sleepy Hollow Drive
Suite 201
Middletown, DE 19709 - Phone
- (302) 449-3150
- Fax
- (302) 449-3160
- NPI assigned
- Apr 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Sandi Harrington
- Title
- Office Manager
- Phone
- (302) 834-3700
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090625000395 | DE | Part B Supplier - Clinic/Group Practice | 7416006259 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Newark, DE |
National Provider Directory
Locations
1400 Peoples Plz
Ste 111
Newark, DE 19702
Phone (302) 834-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
124 Sleepy Hollow Drive
Suite 201
Middletown, DE 19709
Mailing address
124 Sleepy Hollow Drive
Suite 201
Middletown, DE 19709
Phone (302) 449-3150
Other providers in Middletown, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.