Cardiovascular Solutions of Central Ms PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

CARDIOVASCULAR SOLUTIONS OF CENTRAL MS PA

Practice address

800 N Pearman Ave
Cleveland, MS 38732-3502

Phone

(888) 757-0838

Fax

(888) 796-1835

NPI assigned

Oct 9, 2015

Last updated

Apr 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Foluso A Fakorede, MDNPI 1679730329

Title

Physician

Phone

(888) 757-0838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: folusofakorede@cscm.allscriptsdirect.net
• Direct secure messaging: kessamauras@cscm.allscriptsdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Foluso A Fakorede, MD

  • Interventional Cardiology Physician
  • Cleveland, MS
  • NPI 1679730329
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Michael Cukelj, DPM

  • Foot & Ankle Surgery Podiatrist
  • Cleveland, MS
  • NPI 1346827482
  Medicare reassignment Care Compare group NPD
• Kessa Mauras, DPM

  • Podiatrist
  • Great Falls, MT
  • NPI 1326363839

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1356712848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N PEARMAN AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323502",
            "telephone_number": "888-757-0838",
            "fax_number": "888-796-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N PEARMAN AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387323502",
            "telephone_number": "888-757-0838",
            "fax_number": "888-796-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SOLUTIONS OF CENTRAL MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "FAKOREDE",
        "authorized_official_first_name": "FOLUSO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "888-757-0838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Reed Buckley, EDD
• Emily McKinion Burroughs, PMHNP
• Jemecia N. Calvin, MS, LPC, NCC
• Ruth Avegail Ragadio Capapas
• Charles W. Capps III, FNP
• John A Carr, MD
• Children's Acceleration Program, Inc.
• Children's Dental Clinic
• Cole Clark
• Michael Stuart Clark I

• Interventional Cardiology Physician in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Interventional Cardiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.