NPIMap

Organization Active NPI

Clinical Cardiology Specialists, Inc

Doing business as Clinical Cardiovascular Specialists, Inc

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1184812299
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CLINICAL CARDIOLOGY SPECIALISTS, INC
Doing business as
Clinical Cardiovascular Specialists, Inc
Practice address
7630 Rivers Edge Dr
Columbus, OH 43235-1329
Phone
(614) 459-7676
Fax
(614) 459-7681
NPI assigned
Oct 15, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Angie Collier-Crespin
Title
Practice Administrator
Phone
(614) 459-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

7630 Rivers Edge Dr
Columbus, OH 43235-1329

Mailing address

3525 Olentangy River Rd
Suite 6300
Columbus, OH 43214-3937
Phone (614) 459-7676

Other identifiers 2

IdentifierTypeStateIssuer
CM1574OtherOHRAILROAD MEDICARE
2330785MedicaidOH

Other names 1

  • Clinical Cardiovascular Specialists, Inc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Cardiology Specialists Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1184812299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "SUITE 6300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-459-7676",
            "fax_number": "614-459-7681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 RIVERS EDGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351329",
            "telephone_number": "614-459-7676",
            "fax_number": "614-459-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARDIOLOGY SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "COLLIER-CRESPIN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-459-7676"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM1574",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330785",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Cardiovascular Specialists, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.