Organization Active NPI

Kentucky Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • Cynthiana, KY
National Provider Identifier
1184776445
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KENTUCKY CARDIOLOGY CONSULTANTS, PLLC
Practice address
1210 Ky Highway 36E
Suite G3
Cynthiana, KY 41031
Phone
(859) 234-9222
Fax
(859) 234-5666
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Nezar M. Falluji, M.D.NPI 1053427872
Title
Officer
Phone
(859) 234-9222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1210 Ky Highway 36E
Suite G3
Cynthiana, KY 41031

Mailing address

1210 Ky Highway 36E
Suite G3
Cynthiana, KY 41031
Phone (859) 234-9222

Other identifiers 1

IdentifierTypeStateIssuer
7100000890MedicaidKY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1184776445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36E",
            "address_2": "SUITE G3",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "41031",
            "telephone_number": "859-234-9222",
            "fax_number": "859-234-5666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36E",
            "address_2": "SUITE G3",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "41031",
            "telephone_number": "859-234-9222",
            "fax_number": "859-234-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY CARDIOLOGY CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "FALLUJI",
        "authorized_official_first_name": "NEZAR",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "859-234-9222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100000890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.