NPIMap

Organization Active NPI

Indiana Heart Hospital LLC

  • Cardiovascular Disease Physician
  • Martinsville, IN
National Provider Identifier
1356501977
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INDIANA HEART HOSPITAL LLC
Practice address
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone
(765) 349-6710
NPI assigned
Jun 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Thomas Malasto
Title
Ceo
Phone
(317) 621-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2209 John R Wooden Dr
Martinsville, IN 46151-1840

Mailing address

2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 349-6710

Other identifiers 1

IdentifierTypeStateIssuer
200539450AMedicaidIN

Other names 1

  • Community Cardiology Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1356501977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-349-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 JOHN R WOODEN DR",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511840",
            "telephone_number": "765-349-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIANA HEART HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MALASTO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-621-8050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200539450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Cardiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.