Organization Active NPI

St Marys Ohio Valley Heartcare LLC

  • Cardiovascular Disease Physician
  • Evansville, IN
National Provider Identifier
1114237682
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ST MARYS OHIO VALLEY HEARTCARE LLC
Practice address
3700 Washington Avenue
Evansville, IN 47714-0541
Phone
(812) 485-6020
Fax
(812) 471-7523
NPI assigned
Oct 18, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Tim Flesch
Title
Board Chair
Phone
(812) 485-6020

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3700 Washington Avenue
Evansville, IN 47714-0541

Mailing address

3700 Washington Avenue
Evansville, IN 47714-0541
Phone (812) 485-6020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 18, 2010.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1114237682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-6020",
            "fax_number": "812-471-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON AVENUE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140541",
            "telephone_number": "812-485-6020",
            "fax_number": "812-471-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS OHIO VALLEY HEARTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "FLESCH",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "812-485-6020"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.