NPIMap

Organization Active NPI

Medical Center Cardiologists, PSC

  • Cardiovascular Disease Physician
  • Shepherdsville, KY
National Provider Identifier
1043429962
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MEDICAL CENTER CARDIOLOGISTS, PSC
Practice address
1578 Highway 44 E
Suite 2
Shepherdsville, KY 40165-7172
Phone
(502) 585-4321
NPI assigned
May 21, 2007
Organization subpart
Yes
Parent organization
MEDICAL CENTER CARDIOLOGISTS, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Jesse E. Adams III, M.D.NPI 1760470587
Title
President
Phone
(502) 585-4321

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1578 Highway 44 E
Suite 2
Shepherdsville, KY 40165-7172

Mailing address

PO Box 2409
Louisville, KY 40201-2409
Phone (502) 585-4321

Other identifiers 3

IdentifierTypeStateIssuer
95900502MedicaidKY
78902632MedicaidKY
65908808MedicaidKY

National Provider Directory

National Provider Directory
Part of
Medical Center Cardiolo

Locations

1031 New Moody Ln
Ste 202
Lagrange, KY 40031
Phone (502) 222-4551

606 S Main St
Leitchfield, KY 42754
Phone (270) 259-3411

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1043429962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2409",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402012409",
            "telephone_number": "502-585-4321",
            "fax_number": "502-895-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 HIGHWAY 44 E",
            "address_2": "SUITE 2",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657172",
            "telephone_number": "502-585-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER CARDIOLOGISTS, PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL CENTER CARDIOLOGISTS, PSC",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-585-4321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "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": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95900502",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902632",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65908808",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.