Heart and Vascular Center, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

01053031A Issued in IN

Legal business name

HEART AND VASCULAR CENTER, LLC

Practice address

604 Cambridge CT
1B
Munster, IN 46321-2458

Phone

(219) 934-4210

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wail E Asfour, M.D.

Title

Physician/Owner

Phone

(219) 934-4210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1164887329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 CAMBRIDGE CT",
            "address_2": "1B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212458",
            "telephone_number": "219-934-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 CAMBRIDGE CT",
            "address_2": "1B",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212458",
            "telephone_number": "219-934-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND VASCULAR CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "ASFOUR",
        "authorized_official_first_name": "WAIL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "219-934-4210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01053031A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.