Active NPI
Southwest Cardiology Inc
- Cardiovascular Disease Physician
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTHWEST CARDIOLOGY INC
- Practice address
- 8057 Washington Village Dr
Centerville, OH 45458-1847 - Phone
- (937) 312-9890
- Fax
- (937) 293-3605
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David B Stultz, MD
- Title
- President
- Phone
- (937) 293-3486
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
8057 Washington Village Dr
Centerville, OH 45458-1847
Mailing address
3533 Southern Blvd
Suite 2100
Kettering, OH 45429-1267
Phone (937) 293-3486
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060053779 | Other | OH | RR MEDICARE |
| 1540749 | Other | OH | THE FUNDS UMW |
| 2375700 | Medicaid | OH | |
| 020191600 | Other | OH | BLACK LUNG PROGRAM |
National Provider Directory
National Provider DirectoryLocations
3535 Pentagon Blvd
#320
Beavercreek, OH 45431
4160 Little York Rd
Ste 20
Dayton, OH 45414
Phone (937) 454-9327
8057 Washington Village Dr
Dayton, OH 45458
Phone (937) 312-9890
812 Central Ave
Greenville, OH 45331
Phone (937) 548-1522
825 N Main St
Ste 230
Springboro, OH 45066
Phone (866) 224-9472
825 N Main St
Ste 130
Springboro, OH 45066
Phone (937) 401-7583
41 S Stanfield Rd
Ste C
Troy, OH 45373
Phone (937) 335-3072
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Centerville, OH
- NPI 1255315453
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Kettering, OH
- NPI 1023091501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1376587733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3533 SOUTHERN BLVD",
"address_2": "SUITE 2100",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291267",
"telephone_number": "937-293-3486",
"fax_number": "937-293-3605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8057 WASHINGTON VILLAGE DR",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454581847",
"telephone_number": "937-312-9890",
"fax_number": "937-293-3605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST CARDIOLOGY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-16",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "STULTZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-293-3486",
"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": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "060053779",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THE FUNDS UMW",
"identifier": "1540749",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2375700",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG PROGRAM",
"identifier": "020191600",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.