NPIMap

Organization Active NPI

Clinical Cardiology Specialists, Inc

  • Cardiovascular Disease Physician
  • Delaware, OH
National Provider Identifier
1194913293
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
Practice address
551 W Central Ave
Suite 204
Delaware, OH 43015-1493
Phone
(740) 368-5077
Fax
(740) 368-5041
NPI assigned
Oct 15, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Angie Collier-Crespin
Title
Practice Administraton
Phone
(614) 459-7676

Practitioners 13

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

View all 13

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.

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

551 W Central Ave
Suite 204
Delaware, OH 43015-1493

Mailing address

551 W Central Ave
Suite 204
Delaware, OH 43015-1493
Phone (740) 368-5077

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2330801MedicaidOH
CM1574OtherOHRAILROAD MEDICARE

Other names 1

NPPES NPI Registry
  • Clinical Cardiovascular Specialists, Inc Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 9, 2007.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1194913293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151493",
            "telephone_number": "740-368-5077",
            "fax_number": "740-368-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W CENTRAL AVE",
            "address_2": "SUITE 204",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151493",
            "telephone_number": "740-368-5077",
            "fax_number": "740-368-5041"
        }
    ],
    "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 ADMINISTRATON",
        "authorized_official_telephone_number": "614-459-7676"
    },
    "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": "2330801",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM1574",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Cardiovascular Specialists, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delaware, 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.