Cardiac Care Center of Louisville, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIAC CARE CENTER OF LOUISVILLE, PLLC

Practice address

100 Mallard Creek Rd
Suite 150
Louisville, KY 40207-4194

Phone

(502) 721-9117

Fax

(502) 721-9131

NPI assigned

Oct 10, 2005

Last updated

Nov 12, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

CARDIAC CARE CENTER OF LOUISVILLE, PLLCAs reported in NPPES

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

Authorized official

Name

Jesse E Adams III, MD

Title

President

Phone

(502) 585-4321

Specialties & licenses 7

Addresses

Other identifiers 3

Part of

Cardiac Care Center of Louisville PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Cardiac Care Center of Louisville, PLLC

  • Cardiovascular Disease Physician
  • Louisville, KY
  • NPI 1245449669
  NPPES parent name

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1285622779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402010457",
            "telephone_number": "502-585-4321",
            "fax_number": "502-895-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD",
            "address_2": "SUITE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074194",
            "telephone_number": "502-721-9117",
            "fax_number": "502-721-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CARE CENTER OF LOUISVILLE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIAC CARE CENTER OF LOUISVILLE, PLLC",
        "enumeration_date": "2005-10-10",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-585-4321",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95900494",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78902657",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65901324",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Porter Carden, LCSW
• Laura L Cardenas Mateus, MD
• Israel Cardenas
• Cardiac Care Center of Louisville
• Cardiac Care Center of Louisville, PLLC
• Cardiac Care Center of Louisville, PLLC
• Cardiac Care Center of Louisville, PLLC (Medical Center Cardiologists)
• Cardinal Health 414, LLC
• Cardinal Health Care and Rehabilitation Center, Inc
• Cardinal Health PLLC

• Cardiovascular Disease Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.