Midwest Cardiovascular, Inc.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MIDWEST CARDIOVASCULAR, INC.

Practice address

170 Industrial Dr
Ste 105
Festus, MO 63028-4133

Phone

(636) 931-7101

Fax

(636) 933-2383

NPI assigned

Oct 28, 2008

Last updated

Dec 3, 2009By 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

Antoine M Adem, MD, FACCNPI 1114964442

Title

President

Phone

(636) 931-7101

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Antoine M Adem, M.D.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
  • NPI 1114964442
  Authorized official Same address or phone

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259798400000",
    "number": "1235382755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10570 GLEN OAKS DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630283134",
            "telephone_number": "636-931-7101",
            "fax_number": "636-933-2383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 INDUSTRIAL DR",
            "address_2": "STE 105",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284133",
            "telephone_number": "636-931-7101",
            "fax_number": "636-933-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARDIOVASCULAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-12-03",
        "status": "A",
        "authorized_official_last_name": "ADEM",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-931-7101",
        "authorized_official_credential": "MD, FACC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507493401",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Darlene Michaud, MSW, LCSW
• Tjode M Mickelson, D.C
• Micro LLC
• Mid-America Heart and Vascular, LLC
• Linda Middleton, LCSW
• Midwest Heart Institute
• Brady O Miers, DC
• Courtney Leane Miles, PMHNP
• Mary Milfelt
• Millennium Medical P C

• 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 Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.