Cardiovascular Specialists, LLC
Organization Active NPI Cardiovascular Disease Physician · Canal Winchester, OH
NPI 1073737136 · NPPES record last updated May 25, 2011
Key facts
- NPI
- 1073737136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- CARDIOVASCULAR SPECIALISTS, LLC
- Practice address
- 6441 Winchester Blvd
Canal Winchester, OH 43110-2033 - Phone
- (740) 653-7511
- Fax
- (740) 689-9236
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Melissa Muetzel
- Title
- Administration
- Phone
- (740) 653-7511
Other NPIs on the same Medicare enrollment 3
Practitioners 11
-
Delores Ellen Bardales, MSN, APRN-BC
-
Richard M Bardales, M.D.
-
Jeanette Carpenter, APRN-CNP
-
Mary Shannon Coble, CNP
-
Kaitlyn Noel Cummin, CNP
-
Mobusher Mahmud, M.D.
-
Jennifer Rowe-Keller, CNP
-
Shantanu Sinha, M.D.
-
Vijaya Venkataraman, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090729000064 | OH | Part B Supplier - Clinic/Group Practice | 3678626314 |
Receives reassigned benefits from 11 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Canal Winchester, OH; Lancaster, OH; Logan, OH |
National Provider Directory
Locations
7901 Diley Rd
Ste 260
Canal Wnchstr, OH 43110
Phone (614) 833-0000
618 Pleasantville Rd
Ste 102
Lancaster, OH 43130
Phone (740) 475-0502
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | OH | Yes |
Addresses
Primary practice location
6441 Winchester Blvd
Canal Winchester, OH 43110-2033
Mailing address
618 Pleasantville Rd
Suite 101
Lancaster, OH 43130-3312
Phone (740) 653-7511
Other providers in Canal Winchester, OH
- Canal Winchester Care Center, LLC
- Canal Winchester Dental, LLC
- Canal Winchester Local School District
- Brooke Cannoot
- Capital Therapy Services
- Cardiovascular Specialists, LLC
- Carolyn S Neltner MD Inc
- Angela Renee Carpenter
- Anna Carpenter
- Jessica Carpenter
All providers in Canal Winchester, OH · Cardiovascular Disease Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.