Organization Active NPI

Cullman Heart & Urgent Care PC

  • General Practice Physician
  • Cullman, AL
National Provider Identifier
1134494685
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17814 Issued in AL
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 PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1649334301OtherOTHER GROUP NPI
529802590MedicaidAL

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.

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

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.

Verify at the official NPI Registry.