Active NPI
Cullman Heart & Urgent Care PC
- General Practice Physician
- Cullman, AL
National Provider Identifier
1134494685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 17814
- Legal business name
- CULLMAN HEART & URGENT CARE PC
- Practice address
- 1803 Park View Dr
Cullman, AL 35058-3618 - Phone
- (256) 255-1900
- Fax
- (256) 255-1937
- NPI assigned
- Mar 16, 2012
- Organization subpart
- Yes
- Parent organization
- CULLMAN HEART & URGENT CARE PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mir K Varquez, MD
- Title
- President
- Phone
- (256) 775-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 17814 | AL | Primary |
Addresses
Primary practice location
1803 Park View Dr
Cullman, AL 35058-3618
Mailing address
1801 Park View Dr
Cullman, AL 35058-3618
Phone (256) 775-6550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649334301 | Other | OTHER GROUP NPI | |
| 529802590 | Medicaid | AL |
National Provider Directory
National Provider Directory- Part of
- Cullman Cardiovascular Ctr
Locations
1801 Park View Dr
Cullman, AL 35058
Phone (256) 775-6550
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Cullman, AL
- NPI 1649334301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1134494685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 PARK VIEW DR",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350583618",
"telephone_number": "256-775-6550",
"fax_number": "256-775-6772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 PARK VIEW DR",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350583618",
"telephone_number": "256-255-1900",
"fax_number": "256-255-1937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CULLMAN HEART & URGENT CARE PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CULLMAN HEART & URGENT CARE PC",
"enumeration_date": "2012-03-16",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "VARQUEZ",
"authorized_official_first_name": "MIR",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-775-6550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "AL",
"license": "17814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER GROUP NPI",
"identifier": "1649334301",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529802590",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
- Cullman County Treatment Center
- Cullman Dermatology Clinic, P.C.
- Cullman Endodontics PC
- Cullman Eye Specialists, P.C.
- Cullman Family Medicine
- Cullman Heart & Urgent Care PC
- Cullman Internal Medicine Pharmacy, LLC
- Cullman Internal Medicine, PC
- Cullman Medical and Pediatric Associates
- Cullman OB GYN PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.