Cache Valley Cardiology PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CACHE VALLEY CARDIOLOGY PC

Practice address

1300 N 500 E
Suite 320
Logan, UT 84341-2408

Phone

(435) 755-8200

Fax

(435) 752-6094

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Melanie Clark

Title

Office Manager

Phone

(435) 755-8200

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rudolf Otrusinik, MD

  • Cardiovascular Disease Physician
  • Logan, UT
  • NPI 1003922394
  NPD

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043433246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 500 E",
            "address_2": "SUITE 320",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412408",
            "telephone_number": "435-755-8200",
            "fax_number": "435-752-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 500 E",
            "address_2": "SUITE 320",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843412408",
            "telephone_number": "435-755-8200",
            "fax_number": "435-752-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACHE VALLEY CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-755-8200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cache Internal Medicine Inc
• Cache Orthopaedics PC
• Cache Valley Adult Day Center, Inc.
• Cache Valley Beehive Homes Inc.
• Cache Valley Cancer Treatment &Research Clinic PC
• Cache Valley Center for Couples and Families
• Cache Valley Dental Associates LLC
• Cache Valley Eye Associates, Inc.
• Cache Valley Eye Associates, PLLC
• Cache Valley Medical and Wellness

• Specialist in Logan, UT
• Providers in Logan, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.