Organization Active NPI

Clinical Cardiology Specialists, LLC

  • Specialist
  • Middletown, DE
National Provider Identifier
1003058009
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 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
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sandi Harrington
Title
Office Manager
Phone
(302) 834-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1003058009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DRIVE",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-449-3150",
            "fax_number": "302-449-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SLEEPY HOLLOW DRIVE",
            "address_2": "SUITE 201",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "19709",
            "telephone_number": "302-449-3150",
            "fax_number": "302-449-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARDIOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "302-834-3700"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.