Ohio Valley Heartcare Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

OHIO VALLEY HEARTCARE INC

Practice address

1405 Locust St
Eldorado, IL 62930-1629

Phone

(812) 473-2642

NPI assigned

Sep 20, 2006

Organization subpart

Yes

Parent organization

OHIO VALLEY HEARTCARE INCAs reported in NPPES

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

Authorized official

Name

KC Frescoln, CEO

Title

Ceo

Phone

(812) 473-2642

Specialties & licenses 4

Addresses

Other identifiers 1

Part of

Ohio Valley Hearcare Inc

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1083712467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ST MARYS DR",
            "address_2": "SUITE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477148005",
            "telephone_number": "812-473-2642",
            "fax_number": "812-474-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 LOCUST ST",
            "city": "ELDORADO",
            "state": "IL",
            "postal_code": "629301629",
            "telephone_number": "812-473-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY HEARTCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO VALLEY HEARTCARE INC",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "FRESCOLN",
        "authorized_official_first_name": "KC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-473-2642",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "967021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrianne Mott, REGISTERED NURSE
• Ashley Nicole Moye, R.PH.
• Janet Moye, BS
• Rob Nelson, LCPC
• Melissa J Obert, OTR/L
• Nathan Oldham, M.D.
• Jenna Ortiz
• Mary Ann Ozee, APN FNP-C
• Madyson Elise Parker, R.D.
• Kristin Parks, RN

• Cardiovascular Disease Physician in Eldorado, IL
• Providers in Eldorado, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.