Active NPI
Central Cardiology Associates PLLC
- Cardiovascular Disease Physician
- Elizabethtown, KY
National Provider Identifier
1265496483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CENTRAL CARDIOLOGY ASSOCIATES PLLC
- Practice address
- 1324 Woodland Drive
Suite a
Elizabethtown, KY 42701 - Phone
- (270) 765-5921
- Fax
- (270) 769-0000
- NPI assigned
- Apr 14, 2006
- Last updated
- Sep 17, 2013
- 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
- Mrs. Melissa Pruitt
- Title
- Administrator
- Phone
- (270) 765-5921
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1324 Woodland Drive
Suite a
Elizabethtown, KY 42701
Mailing address
1324 Woodland Drive
Suite a
Elizabethtown, KY 42701
Phone (270) 765-5921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65912859 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
Dept 8025
Carol Stream, IL 60122
111 Kingswood Dr
Ste A
Campbellsvlle, KY 42718
Phone (270) 789-3410
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Campbellsville, KY
- NPI 1689670671
-
- Hospitalist Physician
- Atlanta, GA
- NPI 1811040942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379376000000",
"number": "1265496483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 WOODLAND DRIVE",
"address_2": "SUITE A",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-765-5921",
"fax_number": "270-769-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 WOODLAND DRIVE",
"address_2": "SUITE A",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "42701",
"telephone_number": "270-765-5921",
"fax_number": "270-769-0000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL CARDIOLOGY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-14",
"last_updated": "2013-09-17",
"status": "A",
"authorized_official_last_name": "PRUITT",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "270-765-5921",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65912859",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
- Center for Arthritis & Osteoporosis
- Center for Healthcare Innovations PSC
- Center for Healthcare Innovations, Inc.
- Center for Orthotic and Prosthetic Care of Kentucky LLC (Hanger Clinic)
- Centerwell Health Services USA, LLC (CenterWell Home Health)
- Central Kentucky Dialysis Centers LLC (Dialysis of Central Kentucky)
- Central Medical Associates PLLC
- Century Pharmacy Inc (Century Medicines)
- Lisbet Cervera Lopez, PT
- Todd Y. Chadwell, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.