Ag Cardiology, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35080480G Issued in OH

Legal business name

AG CARDIOLOGY, INC

Practice address

5062 State Route 125
Georgetown, OH 45121-9561

Phone

(937) 378-9090

Fax

(937) 378-0102

NPI assigned

Jan 30, 2008

Last updated

Mar 27, 2012By 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

Mr. Ali R Ghasemzadeh, M.D.NPI 1710096839

Title

Owner President

Phone

(937) 378-9090

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH, KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Ali Ghasemzadeh, MD

  • Cardiovascular Disease Physician
  • Georgetown, OH
  • NPI 1710096839

  KY

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1174700306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 577",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451210577",
            "telephone_number": "937-378-9090",
            "fax_number": "937-378-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 STATE ROUTE 125",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451219561",
            "telephone_number": "937-378-9090",
            "fax_number": "937-378-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG CARDIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "GHASEMZADEH",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "937-378-9090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35080480G",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "38551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2291738",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64073497",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adams County Hospital (Adams County Regional Medical Center)
• Adams County Regional Medical Center (ACRMC Family Medicine-Georgetown)
• Adams-Brown Counties Economic Opportunities Inc (ABCAP Home Care)
• Gloria Adjei, MSN, PMHNP-BC, APRN
• Kiersten Elizabeth Adkins
• Air Evac EMS Inc. (Air Evac Lifeteam)
• Eid Alhatem, M.D
• Alma F. McCarren, D.D.S., Inc.
• Anderson Hills Eye
• Anderson Hills Eye, Inc.

• Cardiovascular Disease Physician in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.