Columbus Cardiovascular Care PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

COLUMBUS CARDIOVASCULAR CARE PLLC

Practice address

255 Baptist Blvd
Suite 402
Columbus, MS 39705-2011

Phone

(662) 240-1412

Fax

(662) 240-1949

NPI assigned

Aug 15, 2006

Last updated

Jul 5, 2008By 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

Michael J Boland, M.D.NPI 1104867936

Title

Owner

Phone

(662) 240-1412

Specialties & licenses 2

Addresses

Other identifiers 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.

• Michael J Boland, MD

  • Cardiovascular Disease Physician
  • Columbus, MS
  • NPI 1104867936
  NPD (past) Authorized official

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215216000000",
    "number": "1063425486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "SUITE 402",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 BAPTIST BLVD",
            "address_2": "SUITE 402",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052011",
            "telephone_number": "662-240-1412",
            "fax_number": "662-240-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CARDIOVASCULAR CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-07-05",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-240-1412",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115039",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Col Management, LLC (Tomography Center of Columbus, LLC)
• Daphne Nicole Coleman, OTR
• Christina D Collins, MD
• Roland Franklin Colom, DDS
• Columbus Brace and Limb, Inc
• Columbus Childrens Clinic
• Columbus Emergency Services, LLC
• Columbus Endoscopy Center, LLC
• Columbus Eye Clinic & Laser Surgery Center
• Columbus Eye Clinic and Laser Surgery Center LTD

• Cardiovascular Disease Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Cardiovascular Disease Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2008; 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.