Southern Tier Cardiology PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

220900 Issued in NY

Legal business name

SOUTHERN TIER CARDIOLOGY PLLC

Practice address

790 Linden Ave
Rochester, NY 14625-2716

Phone

(585) 385-9030

Fax

(585) 385-9124

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Syed Asif A Shah, MD

Title

Owner

Phone

(585) 729-4004

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305331200000",
    "number": "1033400742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 LINDEN AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252716",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 LINDEN AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252716",
            "telephone_number": "585-385-9030",
            "fax_number": "585-385-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TIER CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-05-14",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SYED ASIF",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-729-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "220900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "220900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristyn E Sousou, NP
• South Coast Rochester LLC
• Sandra Gail Southall, RN
• Southeast OB-GYN PC (Southeast Obstetrics & Gynecology PC)
• Southern Cross Medical Products
• Southside Medical Supply, LLC
• Southtown Vision Inc (Sterling Optical)
• Southview Physical Therapy and Sports Rehabilitation,PC
• Sinead Southwell
• Khantalee Souvannavong

• Cardiovascular Disease Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2011; 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.