Southwest Medical Center-Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MD043417 Issued in PA

Legal business name

SOUTHWEST MEDICAL CENTER-CARDIOLOGY

Practice address

119 Wilson Rd
Bentleyville, PA 15314-1027

Phone

(724) 239-4700

Fax

(724) 239-3262

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Kamlelsh B Gosai, MD

Title

Ceo Owner

Phone

(724) 239-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southwest Medical Center-Cardiology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southwest Medical Center-Radiology

  • Internal Medicine Physician
  • Bentleyville, PA
  • NPI 1548279557
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kamlesh B Gosai, M.D.

  • Internal Medicine Physician
  • Bentleyville, PA
  • NPI 1033115241
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386658045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-4700",
            "fax_number": "724-239-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WILSON RD",
            "city": "BENTLEYVILLE",
            "state": "PA",
            "postal_code": "153141027",
            "telephone_number": "724-239-4700",
            "fax_number": "724-239-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CENTER-CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOSAI",
        "authorized_official_first_name": "KAMLELSH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "724-239-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD043417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MD043417",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Pennsylvania LLC
• Joel S Rozen, DMD
• Brianne Rusilko, COTA/L
• Samantha Sarnicke, D.M.D.
• Hannah Doreen Skerbetz, M.S., CCC-SLP
• Southwest Medical Center-Radiology
• Southwest Medical Center, Inc
• Sherrie Marie Stoupis, D.M.D.
• Julia Claire Weiss, PHARMD
• Stephanie Lynn Wilson, DPT

• Cardiovascular Disease Physician in Bentleyville, PA
• Providers in Bentleyville, PA by specialty
• Cardiovascular Disease Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.