Active NPI
Comprehensive Cardiology Consultants, Inc.
- Cardiovascular Disease Physician
- Crestview Hills, KY
National Provider Identifier
1225160419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65940835 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI 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.