Active NPI
Carlisle Cardiology Associates, PC
- Cardiovascular Disease Physician
- Carlisle, PA
National Provider Identifier
1023080348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARLISLE CARDIOLOGY ASSOCIATES, PC
- Practice address
- 850 Walnut Bottom Rd
Suite 102
Carlisle, PA 17013-3632 - Phone
- (717) 258-8862
- Fax
- (717) 258-9887
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Gordon Kann, M.D.
- Title
- President
- Phone
- (717) 258-8862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
850 Walnut Bottom Rd
Suite 102
Carlisle, PA 17013-3632
Mailing address
850 Walnut Bottom Rd
Suite 102
Carlisle, PA 17013-3632
Phone (717) 258-8862
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1374187 | Other | PA | HIGHMARK ID |
| 2804517 | Other | PA | AETNA |
| CJ9486 | Other | PA | RAILROAD MEDICARE |
| 0077587710002 | Medicaid | PA | |
| 03248500 | Other | PA | CAPITAL BLUE CROSS ID |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023080348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD",
"address_2": "SUITE 102",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-258-8862",
"fax_number": "717-258-9887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WALNUT BOTTOM RD",
"address_2": "SUITE 102",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170133632",
"telephone_number": "717-258-8862",
"fax_number": "717-258-9887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLISLE CARDIOLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KANN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "717-258-8862",
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK ID",
"identifier": "1374187",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2804517",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CJ9486",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0077587710002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS ID",
"identifier": "03248500",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.