Organization Active NPI

Corinth Cardiovascular Care, PLLC

  • Interventional Cardiology Physician
  • Corinth, MS
National Provider Identifier
1427439348
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20961 Issued in MS
Legal business name
CORINTH CARDIOVASCULAR CARE, PLLC
Practice address
2427 Proper St
Corinth, MS 38834-5394
Phone
(662) 665-0151
NPI assigned
Jun 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Dr. Aaron Christopher Earles, D.O.NPI 1740502095
Title
Authorized Official
Phone
(662) 603-1007

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
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 20961 MS Primary

Addresses

Primary practice location

2427 Proper St
Corinth, MS 38834-5394

Mailing address

PO Box 728
Corinth, MS 38835-0728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151001001640 MS Part B Supplier - Clinic/Group Practice 0446568075 Receives reassigned benefits from 1 practitioner
Practice locations: Corinth, MS

National Provider Directory

National Provider Directory

Locations

3035 Corder Dr
Corinth, MS 38834
Phone (662) 286-9292

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1427439348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 PROPER ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345394",
            "telephone_number": "662-665-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTH CARDIOVASCULAR CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "EARLES",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-603-1007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MS",
            "license": "20961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.