Loudon Cardiology, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

LOUDON CARDIOLOGY, PLLC

Practice address

460 Medical Park Dr
Suite 103B
Lenoir City, TN 37772-5782

Phone

(865) 803-6043

Fax

(865) 539-5931

NPI assigned

Jan 17, 2017

Last updated

Feb 13, 2017By 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. Emily Diltz, MDNPI 1972593986

Title

President

Phone

(865) 803-6043

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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.

• Emily Diltz, M.D.

  • Cardiovascular Disease Physician
  • Lenoir City, TN
  • NPI 1972593986
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1164968012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 103B",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-803-6043",
            "fax_number": "865-539-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 MEDICAL PARK DR",
            "address_2": "SUITE 103B",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725782",
            "telephone_number": "865-803-6043",
            "fax_number": "865-539-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUDON CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "DILTZ",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-803-6043",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Limb Preservation Center of East Tennessee PLLC
• Lincare Inc.
• Livewell Pharmacy LLC (Livewell Pharmacy)
• George Michael Lodeiro, MD
• Kimberly Lokey
• Loudon County Pediatrics, PC
• Loudon Dermatology, P.C.
• Matthew David Lowrance, DO
• Mary Helen Lyle-Joiner, LPC-MHSP
• June Yvonne Lyons, DO

• Cardiovascular Disease Physician in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.