NPIMap

Organization Active NPI

Medical Center Cardiologists, PSC

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1013126911
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEDICAL CENTER CARDIOLOGISTS, PSC
Practice address
720 W Hill St
Louisville, KY 40208-2216
Phone
(502) 585-4321
NPI assigned
May 21, 2007
Organization subpart
Yes
Parent organization
MEDICAL CENT3R CARDIOLOGISTS, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Jesse E. Adams III, M.D.
Title
President
Phone
(502) 585-4321

Specialties & licenses 1

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

Addresses

Primary practice location

720 W Hill St
Louisville, KY 40208-2216

Mailing address

PO Box 2409
Louisville, KY 40201-2409
Phone (502) 585-4321

Other identifiers 3

IdentifierTypeStateIssuer
78902632MedicaidKY
65908808MedicaidKY
95900502MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Medical Center Cardiolo8 organizations share this tax ID, including this one
Part of
Medical Center Cardiolo

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 W Hill St
Louisville, KY 40208
Phone (502) 363-3164

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1013126911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012409",
            "telephone_number": "502-585-4321",
            "fax_number": "502-895-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W HILL ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402082216",
            "telephone_number": "502-585-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER CARDIOLOGISTS, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CENT3R CARDIOLOGISTS, PSC",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-585-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902632",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65908808",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95900502",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.