Children's Heart Care Clinic LLC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

01063650A Issued in IN

Legal business name

CHILDREN'S HEART CARE CLINIC LLC

Practice address

14328 Waterway Blvd
Fortville, IN 46040-9455

Phone

(646) 234-8354

NPI assigned

Dec 26, 2009

Last updated

Feb 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Todman, MD

Title

Evp and Chief Medical Officer

Phone

(646) 234-8354

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1114257052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14328 WATERWAY BLVD",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460409455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14328 WATERWAY BLVD",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460409455",
            "telephone_number": "646-234-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEART CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-26",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "TODMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "EVP AND CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "646-234-8354",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IN",
            "license": "01063650A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adaliah D Brown, MA, LMHCA
• Travis B Bunnell, O.D
• Rhonda Kaye Campbell-Minnich, LCSW
• Care Free Home Care LLC
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• Heather Clark Butler
• Candice Liane Closser, FNP
• Joshua Ryan Collingwood, LMHC
• Community Hospital of Indiana Inc (Fortville Community Medicine)
• Erin Costerison, RBT

• Pediatric Cardiology Physician in Fortville, IN
• Providers in Fortville, IN by specialty
• Pediatric Cardiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.