Organization Active NPI

Regional Cardiology Associates, P.L.C.

  • Cardiovascular Disease Physician
  • Grand Blanc, MI
National Provider Identifier
1447210356
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
REGIONAL CARDIOLOGY ASSOCIATES, P.L.C.
Practice address
3399 Pollock Rd
Grand Blanc, MI 48439-8395
Phone
(810) 603-0170
Fax
(810) 579-1705
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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

Authorized official

Name
Mrs. Linda Sanders
Title
Business Manager
Phone
(810) 603-0170

Specialties & licenses 1

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

Addresses

Primary practice location

3399 Pollock Rd
Grand Blanc, MI 48439-8395

Mailing address

3399 Pollock Rd
Grand Blanc, MI 48439-8395
Phone (810) 603-0170

Other identifiers 1

IdentifierTypeStateIssuer
0B51074OtherMIBLUE CROSS/SHIELD

National Provider Directory

National Provider Directory

Locations

3640 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 603-0170

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398384000000",
    "number": "1447210356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 POLLOCK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398395",
            "telephone_number": "810-603-0170",
            "fax_number": "810-579-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 POLLOCK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398395",
            "telephone_number": "810-603-0170",
            "fax_number": "810-579-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CARDIOLOGY ASSOCIATES, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-04-25",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "810-603-0170",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "0B51074",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2014; 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.