Myheartlife PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

42537 Issued in CO

Legal business name

MYHEARTLIFE PLLC

Practice address

425 S Cherry St Ste 160
Denver, CO 80246-1221

Phone

(303) 709-9275

NPI assigned

Aug 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Martin Yussman, MD

Title

Owner

Phone

(303) 709-9275

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1316429103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 N CLARKSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461221",
            "telephone_number": "303-709-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYHEARTLIFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "YUSSMAN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-709-9275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "42537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053317966",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.