Organization Active NPI

Southwest Cardiology Inc

  • Cardiovascular Disease Physician
  • Centerville, OH
National Provider Identifier
1376587733
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
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

Updated by the provider on Feb 11, 2010

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)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
060053779OtherOHRR MEDICARE
1540749OtherOHTHE FUNDS UMW
2375700MedicaidOH
020191600OtherOHBLACK LUNG PROGRAM

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.