Cardiovascular Medicine of Waukesha, S.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR MEDICINE OF WAUKESHA, S.C.

Practice address

721 American Ave
Suite 410
Waukesha, WI 53188-5071

Phone

(262) 521-2101

Fax

(262) 521-1482

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Imad Ahmad Katib, M.D.NPI 1740237601

Title

President

Phone

(262) 521-2101

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Imad Katib, M.D.

  • Cardiovascular Disease Physician
  • Waukesha, WI
  • NPI 1740237601
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1013026285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 410",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-521-2101",
            "fax_number": "262-521-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 AMERICAN AVE",
            "address_2": "SUITE 410",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531885071",
            "telephone_number": "262-521-2101",
            "fax_number": "262-521-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MEDICINE OF WAUKESHA, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "KATIB",
        "authorized_official_first_name": "IMAD",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-521-2101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ni Thi Mi Cao, PA-C
• Rylee R Capesius, PA
• Beethoven Carabacan, LAT, CSCS, BS, MS
• Cardio Sleep Solutions Wisconsin LLC
• Cardiology Associates of Waukesha, S.C.
• Melissa Carini, MS, LPC , CSAC
• Constance Jean Carlson
• Mary Heather Carlson
• De'Siree R Carmichael
• Rebecca Carney, LPC

• Cardiovascular Disease Physician in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.