Great River Cardiology, Inc

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

35086804 Issued in OH

Legal business name

GREAT RIVER CARDIOLOGY, INC

Practice address

24700 Center Ridge Rd Ste 220
Westlake, OH 44145-5669

Phone

(440) 333-7315

Fax

(440) 808-8303

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ashoka Nautiyal, M.D.

Title

Owner

Phone

(440) 333-7315

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1275960908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE 220",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455669",
            "telephone_number": "440-333-7315",
            "fax_number": "440-808-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 CENTER RIDGE RD STE 220",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455669",
            "telephone_number": "440-333-7315",
            "fax_number": "440-808-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT RIVER CARDIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "NAUTIYAL",
        "authorized_official_first_name": "ASHOKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-333-7315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35086804",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35086804",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35086804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0097959",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2614371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Interventional Cardiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.