NPIMap

Organization Active NPI

Cardiology Diagnostics, LTD.

  • Cardiovascular Disease Physician
  • Farmington, MO
National Provider Identifier
1417128372
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOLOGY DIAGNOSTICS, LTD.
Practice address
1101 Weber Rd
Suite 105
Farmington, MO 63640-3326
Phone
(573) 701-0222
Fax
(573) 701-0220
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Marc K Lewen, D.O.NPI 1174565915
Title
Vice President
Phone
(314) 966-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1101 Weber Rd
Suite 105
Farmington, MO 63640-3326

Mailing address

2325 Dougherty Ferry Rd
Suite 205
Saint Louis, MO 63122-3356
Phone (314) 966-9888

National Provider Directory

National Provider Directory

Locations

2 Progress Point Pkwy
Ste F
O Fallon, MO 63368
Phone (636) 229-5060

10 Hospital Dr
Ste 100
Saint Peters, MO 63376
Phone (636) 916-7272

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1417128372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 DOUGHERTY FERRY RD",
            "address_2": "SUITE 205",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223356",
            "telephone_number": "314-966-9888",
            "fax_number": "314-966-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEBER RD",
            "address_2": "SUITE 105",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403326",
            "telephone_number": "573-701-0222",
            "fax_number": "573-701-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY DIAGNOSTICS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "LEWEN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "314-966-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.