Organization Active NPI

Clinical Cardiology Specialists, LLC

  • Specialist
  • Newark, DE
National Provider Identifier
1023250024
Registry record updated Jun 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CLINICAL CARDIOLOGY SPECIALISTS, LLC
Practice address
2600 Glasgow Ave
Suite 108
Newark, DE 19702-4773
Phone
(302) 834-3700
Fax
(302) 834-8330
NPI assigned
Apr 6, 2009
Last updated
Jun 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2009

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

Authorized official

Name
Dr. Christopher Anthony Bowens, MDNPI 1487657102
Title
President
Phone
(302) 834-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

2600 Glasgow Ave
Suite 108
Newark, DE 19702-4773

Mailing address

2600 Glasgow Ave
Suite 108
Newark, DE 19702-4773
Phone (302) 834-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090625000395 DE Part B Supplier - Clinic/Group Practice 7416006259 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Newark, DE

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245283200000",
    "number": "1023250024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 108",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-834-3700",
            "fax_number": "302-834-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE",
            "address_2": "SUITE 108",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024773",
            "telephone_number": "302-834-3700",
            "fax_number": "302-834-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARDIOLOGY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-06-18",
        "status": "A",
        "authorized_official_last_name": "BOWENS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-834-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.