Metro Cardiology Group LTD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036060909 Issued in IL

Legal business name

METRO CARDIOLOGY GROUP LTD

Practice address

5020 N Illinois St
Fairview Heights, IL 62208-3411

Phone

(618) 239-3356

Fax

(618) 239-3359

NPI assigned

May 27, 2015

Last updated

May 27, 2015By 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

Amanullah K Pathan, M.D.NPI 1093749699

Title

President

Phone

(618) 239-3356

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Amanullah Khan Pathan, MD

  • Cardiovascular Disease Physician
  • Belleveille, IL
  • NPI 1093749699
  Authorized official Same address or phone
• Omar Almousalli, M.D.

  • Cardiovascular Disease Physician
  • Festus, MO
  • NPI 1134161904
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1386023000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MEMORIAL DR",
            "address_2": "SUITE 420",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265368",
            "telephone_number": "618-239-3356",
            "fax_number": "618-239-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 N ILLINOIS ST",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622083411",
            "telephone_number": "618-239-3356",
            "fax_number": "618-239-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CARDIOLOGY GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "PATHAN",
        "authorized_official_first_name": "AMANULLAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-239-3356",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036060909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060909",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keywana M McDonald, RN
• Ronnye McInteer, OT
• Corynne McPeters, LSW
• Kayla Faith McSherry
• Medgo, LLC
• Metroeast Endoscopic Surgery Center
• Metroeast Endoscopy Centre
• Metroeast Neuropsychiatric Services, P.C.
• Rosanne Mezzano, OD
• Michael K. Faulkner DC

• Cardiovascular Disease Physician in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.