NPIMap

Organization Active NPI

Blackstone Cardiology Associates

  • Cardiovascular Disease Physician
  • Pawtucket, RI
National Provider Identifier
1124101340
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BLACKSTONE CARDIOLOGY ASSOCIATES
Practice address
333 School Street
Ste 112
Pawtucket, RI 02860-5336
Phone
(401) 723-1210
Fax
(401) 312-2099
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Andrew R Hordes, MDNPI 1174583595
Title
President
Phone
(401) 723-1210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

333 School Street
Ste 112
Pawtucket, RI 02860-5336

Mailing address

333 School Street
Ste 112
Pawtucket, RI 02860-5336
Phone (401) 723-1210

Other identifiers 1

IdentifierTypeStateIssuer
9000486MedicaidRI

National Provider Directory

National Provider Directory

Locations

333 School St
Ste 206
Pawtucket, RI 02860
Phone (401) 723-1210

333 School St
Ste 112
Pawtucket, RI 02860
Phone (401) 723-1210

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1124101340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SCHOOL STREET",
            "address_2": "STE 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605336",
            "telephone_number": "401-723-1210",
            "fax_number": "401-312-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SCHOOL STREET",
            "address_2": "STE 112",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605336",
            "telephone_number": "401-723-1210",
            "fax_number": "401-312-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKSTONE CARDIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "HORDES",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-723-1210",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000486",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.