Mid-America Heart and Vascular, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MID-AMERICA HEART AND VASCULAR, LLC

Practice address

1439 US Highway 61 Ste a
Festus, MO 63028-4154

Phone

(636) 931-7101

NPI assigned

Jan 7, 2020

Last updated

Jan 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Azamuddin KhajaNPI 1699723486

Title

Physician

Phone

(636) 931-7101

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Azamuddin Khaja, M.D.

  • Interventional Cardiology Physician
  • Farmington, MO
  • NPI 1699723486

  Cardiovascular Disease

  NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1205476223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 US HIGHWAY 61 STE A",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284154",
            "telephone_number": "636-931-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 US HIGHWAY 61 STE A",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284154",
            "telephone_number": "636-931-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 W Pine St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636401439",
            "country_code": "US",
            "telephone_number": "573-701-0090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID-AMERICA HEART AND VASCULAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "AZAMUDDIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "636-931-7101"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Metzner-Zelle
• Katherine R Meyer, OCCUPATIONAL THERAPI
• Tessa Darlene Michaud, MSW, LCSW
• Tjode M Mickelson, D.C
• Micro LLC
• Linda Middleton, LCSW
• Midwest Cardiovascular, Inc.
• Midwest Heart Institute
• Brady O Miers, DC
• Courtney Leane Miles, PMHNP

• Cardiovascular Disease Physician in Festus, MO
• Providers in Festus, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.