Organization Active NPI

Cardiology Associates of Southeastern Ohio Inc.

  • Specialist
  • Zanesville, OH
National Provider Identifier
1063426062
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1111626 Issued in OH
Legal business name
CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO INC.
Practice address
751 Forest Ave
Suite 300
Zanesville, OH 43701-2868
Phone
(740) 454-0804
Fax
(740) 454-7171
NPI assigned
Jul 28, 2006
Last updated
Jan 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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

Authorized official

Name
Dr. John Elman Vangilder, M.D.NPI 1871579854
Title
Physician
Phone
(740) 454-0804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1111626 OH Primary

Addresses

Primary practice location

751 Forest Ave
Suite 300
Zanesville, OH 43701-2868

Mailing address

751 Forest Ave
Suite 300
Zanesville, OH 43701-2868
Phone (740) 454-0804

Other identifiers 1

IdentifierTypeStateIssuer
2159355MedicaidOH

National Provider Directory

National Provider Directory

Locations

751 Forest Ave
Ste 300
Zanesville, OH 43701
Phone (740) 450-3304

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389916800000",
    "number": "1063426062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "address_2": "SUITE 300",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012868",
            "telephone_number": "740-454-0804",
            "fax_number": "740-454-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 FOREST AVE",
            "address_2": "SUITE 300",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012868",
            "telephone_number": "740-454-0804",
            "fax_number": "740-454-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ASSOCIATES OF SOUTHEASTERN OHIO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2014-01-17",
        "status": "A",
        "authorized_official_last_name": "VANGILDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ELMAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-454-0804",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "1111626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159355",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.