Main Line Cardiology Associates, PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MAIN LINE CARDIOLOGY ASSOCIATES, PC

Practice address

255 W Lancaster Ave
Paoli, PA 19301-1763

Phone

(610) 647-2400

Fax

(610) 647-3902

NPI assigned

May 18, 2009

Organization subpart

No

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

Authorized official

Name

Elliot M Gerber, MDNPI 1073552147

Title

President

Phone

(610) 647-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elliot Mark Gerber, MD

  • Cardiovascular Disease Physician
  • Paoli, PA
  • NPI 1073552147

  Cardiovascular Disease

  NPD (past) Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1295960458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PAOLI MEMORIAL HOSPITAL BLDG 2",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-2400",
            "fax_number": "610-647-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-2400",
            "fax_number": "610-647-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN LINE CARDIOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "GERBER",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-647-2400",
        "authorized_official_credential": "MD"
    },
    "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": "0010769160008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Jane Mackay, M.D., PH.D.
• Peggy Macqueen, MS, LPC
• Maria Maggio Fisher
• Main Line Adult Counseling, LLC
• Main Line Cardiology Associates PC
• Main Line Clinical Laboratories
• Main Line Ear, Nose & Throat, PC
• Main Line Emergency Med Associates LLC
• Main Line Gastroenterology Associates, PC
• Main Line Hand Center LLC

• All providers in Paoli, PA
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.