Organization Active NPI

Heart Specialists of Ohio Inc

  • Cardiovascular Disease Physician
  • Mount Vernon, OH
National Provider Identifier
1184813057
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
HEART SPECIALISTS OF OHIO INC
Practice address
1330 Coshocton Rd
Mt Vernon, OH 43050-5416
Phone
(614) 538-0527
Fax
(614) 538-0530
NPI assigned
Oct 17, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Dr. Douglas Van Fossen, M.D.
Title
President
Phone
(614) 538-0527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Primary

Addresses

Primary practice location

1330 Coshocton Rd
Mt Vernon, OH 43050-5416

Mailing address

3650 Olentangy River Rd
Suite 300
Columbus, OH 43214-3464
Phone (740) 397-5400

Other identifiers 1

IdentifierTypeStateIssuer
2462679MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1184813057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 OLENTANGY RIVER RD",
            "address_2": "SUITE 300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143464",
            "telephone_number": "740-397-5400",
            "fax_number": "740-397-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 COSHOCTON RD",
            "city": "MT VERNON",
            "state": "OH",
            "postal_code": "430505416",
            "telephone_number": "614-538-0527",
            "fax_number": "614-538-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART SPECIALISTS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "VAN FOSSEN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-538-0527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2462679",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.