Children'S Heart Specialists, PSC

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

24893 Issued in KY

Legal business name

CHILDREN'S HEART SPECIALISTS, PSC

Practice address

731 E Broadway
Louisville, KY 40202-1711

Phone

(502) 584-3200

Fax

(502) 584-3333

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan Villafane, M.D.

Title

President

Phone

(502) 584-3200

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1376686311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E. BROADWAY",
            "address_2": "#300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-584-3200",
            "fax_number": "502-584-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021711",
            "telephone_number": "502-584-3200",
            "fax_number": "502-584-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEART SPECIALISTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-584-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KY",
            "license": "24893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64248933",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1052899",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child First Developmental Services
• Hayley Childers, OD
• Michael Childers, D.M.D., M. S.
• Monica Childers
• Children'S Health PLLC
• Children'S Safe Haven Inc
• Children'S Special Care Dentistry
• Children'S Therapy Center, PSC
• Childrens Eye Specialists PLLC
• Alisa Childress

• Pediatric Cardiology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pediatric Cardiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.