City of Hope Heart and Vascular Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

075378 Issued in GA

Legal business name

CITY OF HOPE HEART AND VASCULAR CENTER, LLC

Practice address

207 Fairview Park Dr
A
Dublin, GA 31021-2550

Phone

(478) 353-1970

Fax

(478) 353-1973

NPI assigned

Apr 14, 2017

Last updated

Apr 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Collins A Kwarteng, M.D.NPI 1598943516

Title

Owner

Phone

(508) 410-5408

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, and the practitioner matching its NPPES authorized official.

• Collins A Kwarteng, MD

  • Cardiovascular Disease Physician
  • Dublin, GA
  • NPI 1598943516
  Authorized official Same address or phone

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1013441245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FAIRVIEW PARK DR",
            "address_2": "A",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212550",
            "telephone_number": "478-353-1970",
            "fax_number": "478-353-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FAIRVIEW PARK DR",
            "address_2": "A",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212550",
            "telephone_number": "478-353-1970",
            "fax_number": "478-353-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HOPE HEART AND VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "KWARTENG",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-410-5408",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "075378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Dublin, GA
• Providers in Dublin, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; 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.