Organization Active NPI

Cardiology Associates, PSC

  • Cardiovascular Disease Physician
  • Fort Thomas, KY
National Provider Identifier
1003088246
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY ASSOCIATES, PSC
Practice address
20 N Grand Ave
Ste 3
Fort Thomas, KY 41075-4106
Phone
(859) 331-0774
Fax
(859) 426-4051
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Sanjay Patil
Title
Ceo
Phone
(859) 331-0774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

20 N Grand Ave
Ste 3
Fort Thomas, KY 41075-4106

Mailing address

900 Medical Village Dr
Edgewood, KY 41017-3422
Phone (859) 331-0774

Other identifiers 1

IdentifierTypeStateIssuer
CL9164OtherPALMETTO GBA-RAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

900 Medical Village Dr
Edgewood, KY 41017
Phone (859) 344-5501

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1003088246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173422",
            "telephone_number": "859-331-0774",
            "fax_number": "859-426-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GRAND AVE",
            "address_2": "STE 3",
            "city": "FORT THOMAS",
            "state": "KY",
            "postal_code": "410754106",
            "telephone_number": "859-331-0774",
            "fax_number": "859-426-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-331-0774"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA-RAILROAD MEDICARE",
            "identifier": "CL9164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Thomas, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.