Organization Active NPI

Heart Care Associates PSC

  • Cardiovascular Disease Physician
  • Madisonville, KY
National Provider Identifier
1396758710
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
33663 Issued in KY
Legal business name
HEART CARE ASSOCIATES PSC
Practice address
44 McCoy Avenue, Box # 9
Madisonville, KY 42431-2871
Phone
(270) 821-0677
Fax
(270) 821-2539
NPI assigned
Aug 15, 2006
Last updated
Dec 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mr. Bhaskaran N Sreekumar, M.D.NPI 1538140165
Title
Administrator
Phone
(270) 821-0677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 33663 KY Primary

Addresses

Primary practice location

44 McCoy Avenue, Box # 9
Madisonville, KY 42431-2871

Mailing address

44 McCoy Avenue, Box # 9
Madisonville, KY 42431-2871
Phone (270) 821-0677

Other identifiers 1

IdentifierTypeStateIssuer
64336639MedicaidKY

National Provider Directory

National Provider Directory

Locations

44 McCoy Ave
Ste 9
Madisonville, KY 42431
Phone (270) 821-0677

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1396758710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVENUE, BOX # 9",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312871",
            "telephone_number": "270-821-0677",
            "fax_number": "270-821-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVENUE, BOX # 9",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312871",
            "telephone_number": "270-821-0677",
            "fax_number": "270-821-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CARE ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "SREEKUMAR",
        "authorized_official_first_name": "BHASKARAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "270-821-0677",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "33663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64336639",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.