Organization Active NPI

Comprehensive Cardiology Consultants, Inc.

  • Cardiovascular Disease Physician
  • Crestview Hills, KY
National Provider Identifier
1225160419
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC.
Practice address
350 Thomas More Pkwy
Suite 280
Crestview Hills, KY 41017-5465
Phone
(859) 426-0888
Fax
(859) 426-4140
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
George A. Wietmarschen, CEO
Title
Chief Executive Officer
Phone
(513) 872-5700

Specialties & licenses 1

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

Addresses

Primary practice location

350 Thomas More Pkwy
Suite 280
Crestview Hills, KY 41017-5465

Mailing address

311 Straight St
Suite 301
Cincinnati, OH 45219-1018
Phone (513) 861-5555

Other identifiers 1

IdentifierTypeStateIssuer
65940835MedicaidKY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1225160419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 STRAIGHT ST",
            "address_2": "SUITE 301",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191018",
            "telephone_number": "513-861-5555",
            "fax_number": "513-861-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY",
            "address_2": "SUITE 280",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175465",
            "telephone_number": "859-426-0888",
            "fax_number": "859-426-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIOLOGY CONSULTANTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "WIETMARSCHEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "513-872-5700",
        "authorized_official_credential": "CEO"
    },
    "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": "65940835",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.