Organization Active NPI

Campbell Station Cardiology

  • Specialist
  • Spring Hill, TN
National Provider Identifier
1386844454
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0000019617 Issued in TN
Legal business name
CAMPBELL STATION CARDIOLOGY
Practice address
4847 Columbia Pike
Spring Hill, TN 37174-9241
Phone
(615) 599-9908
Fax
(615) 599-9913
NPI assigned
Jul 18, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Dr. John A. Maloof III, M.D.
Title
Doctor/Owner
Phone
(615) 599-9908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD0000019617 TN Primary

Addresses

Primary practice location

4847 Columbia Pike
Spring Hill, TN 37174-9241

Mailing address

4847 Columbia Pike
Spring Hill, TN 37174-9241
Phone (615) 599-9908

Other identifiers 1

IdentifierTypeStateIssuer
4050552OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

4847 Main St
Spring Hill, TN 37174
Phone (615) 599-9908

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1386844454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4847 COLUMBIA PIKE",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371749241",
            "telephone_number": "615-599-9908",
            "fax_number": "615-599-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4847 COLUMBIA PIKE",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371749241",
            "telephone_number": "615-599-9908",
            "fax_number": "615-599-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL STATION CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "MALOOF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "615-599-9908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000019617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4050552",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.