Active NPI
St Marys Ohio Valley Heartcare LLC
- Cardiovascular Disease Physician
- Evansville, IN
National Provider Identifier
1114237682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.