Mount Vernon Heart Institute LTD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

042618010 Issued in IL

Legal business name

MOUNT VERNON HEART INSTITUTE LTD

Practice address

4204 Williamson PL
Mount Vernon, IL 62864-6705

Phone

(618) 244-2525

Fax

(618) 244-3666

NPI assigned

Mar 9, 2007

Last updated

May 7, 2013By 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

Dr. Mohammed Haseeb, M.D.NPI 1275692238

Title

President

Phone

(618) 244-2525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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.

• Mohammed Haseeb, M.D.

  • Cardiovascular Disease Physician
  • Mount Vernon, IL
  • NPI 1275692238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367884800000",
    "number": "1033241641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628640016",
            "telephone_number": "618-244-2525",
            "fax_number": "618-244-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 WILLIAMSON PL",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646705",
            "telephone_number": "618-244-2525",
            "fax_number": "618-244-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON HEART INSTITUTE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-05-07",
        "status": "A",
        "authorized_official_last_name": "HASEEB",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-244-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "042618010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaji A Mohammed
• Robert Mooney, LCPC
• Judith C Morgan, RN/BA/CADC
• Mount Vernon Chiropractic Clinic
• Mount Vernon Emergency Group PC
• Mount Vernon Medical Enterprises Inc
• Kelli Mowrer, CNP
• Mt Vernon Community Pharmacy Inc (The Medicine Shoppe)
• Mt Vernon Community Pharmacy Inc (The Medicine Shoppe)
• Mt Vernon Cty SCH Dist 80

• Cardiovascular Disease Physician in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; 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.