Organization Active NPI

River Cities Cardiology, MPC

  • Cardiovascular Disease Physician
  • Jeffersonville, IN
National Provider Identifier
1023086774
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
50001187A Issued in IN
Legal business name
RIVER CITIES CARDIOLOGY, MPC
Practice address
207 Sparks Ave
Suite 104
Jeffersonville, IN 47130-3739
Phone
(812) 282-1617
Fax
(812) 288-7625
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mohammed Hussain, M. D.
Title
President
Phone
(812) 282-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 50001187A IN Primary

Addresses

Primary practice location

207 Sparks Ave
Suite 104
Jeffersonville, IN 47130-3739

Mailing address

207 Sparks Ave
Suite 104
Jeffersonville, IN 47130-3739
Phone (812) 282-1617

Other identifiers 2

IdentifierTypeStateIssuer
65912925MedicaidKY
CA4519OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

207 Sparks Ave
Ste 104
Jeffersonvlle, IN 47130
Phone (812) 282-1617

1401 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-1178

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1023086774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "SUITE 104",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-282-1617",
            "fax_number": "812-288-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SPARKS AVE",
            "address_2": "SUITE 104",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303739",
            "telephone_number": "812-282-1617",
            "fax_number": "812-288-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITIES CARDIOLOGY, MPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-282-1617",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "50001187A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65912925",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA4519",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeffersonville, IN

Sources for this page

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