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

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.

Title

Owner

Phone

(508) 410-5408

Specialties & licenses 1

Addresses

Locations

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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "075378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli S Christian, RPH
• Christopher Lee Medical Supply
• Arunasree Chukkapalli, MD
• Eric Chung
• City of Excellence Emergency Physicians LLC
• Richard K Clardy, D.M.D.
• Clark Eyecare
• Anthony Joe Clark, CRNA
• Donald R Clark, O.D.
• Doryn Roche Clark, PHARM.D

• 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.