NPIMap

Organization Active NPI

Kentucky Heart Care, PSC

  • Specialist
  • Ashland, KY
National Provider Identifier
1154483097
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
40110 Issued in KY
Legal business name
KENTUCKY HEART CARE, PSC
Practice address
2301 Lexington Ave
Suite 100
Ashland, KY 41101-2873
Phone
(606) 547-1010
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Himachal Veligandla, M.D.
Title
Practice Owner
Phone
(606) 325-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 40110 KY Primary

Addresses

Primary practice location

2301 Lexington Ave
Suite 100
Ashland, KY 41101-2873

Mailing address

2301 Lexington Ave
Suite 100
Ashland, KY 41101-2873

Other identifiers 1

IdentifierTypeStateIssuer
000000492275OtherKYANTHEM BLUE CROSS

National Provider Directory

National Provider Directory

Locations

2301 Lexington Ave
Ste 100
Ashland, KY 41101
Phone (606) 325-0011

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154483097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "SUITE 100",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "SUITE 100",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012873",
            "telephone_number": "606-547-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY HEART CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VELIGANDLA",
        "authorized_official_first_name": "HIMACHAL",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "606-325-0011",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "40110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000492275",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.