NPIMap

Organization Active NPI

Danville Cardiovascular Consultants, PSC

  • Cardiovascular Disease Physician
  • Danville, KY
National Provider Identifier
1164429635
Registry record updated Oct 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
27430 Issued in KY
Legal business name
DANVILLE CARDIOVASCULAR CONSULTANTS, PSC
Practice address
1250 Ben Ali Dr
Danville, KY 40422-8937
Phone
(859) 236-6621
Fax
(859) 238-0471
NPI assigned
Jun 30, 2005
Last updated
Oct 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2009

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

Authorized official

Name
Kathleen S Lowery
Title
Ins Billing Clerk
Phone
(859) 236-6621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 27430 KY Primary

Addresses

Primary practice location

1250 Ben Ali Dr
Danville, KY 40422-8937

Mailing address

1250 Ben Ali Dr
PO Box 88
Danville, KY 40422-8937
Phone (859) 236-6621

Other identifiers 2

IdentifierTypeStateIssuer
000000061892OtherKYANTHEM FACETS#
65924029MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1164429635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 BEN ALI DR",
            "address_2": "PO BOX 88",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228937",
            "telephone_number": "859-236-6621",
            "fax_number": "859-238-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BEN ALI DR",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228937",
            "telephone_number": "859-236-6621",
            "fax_number": "859-238-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE CARDIOVASCULAR CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INS BILLING CLERK",
        "authorized_official_telephone_number": "859-236-6621"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "27430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACETS#",
            "identifier": "000000061892",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65924029",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.