Comprehensive Cardiovascular Consultants, Inc.

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

MDR4P45 Issued in MO

Legal business name

COMPREHENSIVE CARDIOVASCULAR CONSULTANTS, INC.

Practice address

3760 S Lindbergh Blvd
Suite 101
Saint Louis, MO 63127-1374

Phone

(314) 849-0923

Fax

(314) 849-5716

NPI assigned

Jul 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Raffi Krikorian, MD

Title

Owner

Phone

(314) 849-0923

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBJEAD

Practitioners 1

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

• Tshiswaka Kayembe, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1164477766
  NPD (past)

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310083200000",
    "number": "1205123387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 S LINDBERGH BLVD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271374",
            "telephone_number": "314-849-0923",
            "fax_number": "314-849-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 S LINDBERGH BLVD",
            "address_2": "SUITE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271374",
            "telephone_number": "314-849-0923",
            "fax_number": "314-849-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIOVASCULAR CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-08",
        "last_updated": "2011-07-08",
        "status": "A",
        "authorized_official_last_name": "KRIKORIAN",
        "authorized_official_first_name": "RAFFI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-849-0923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "MO",
            "license": "MDR4P45",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2079",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICARE IDTF PTAN",
            "identifier": "IL1797",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO MEDICARE IDTF PTAN",
            "identifier": "MA1570",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physiological Laboratory in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physiological Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2011; 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.