Organization Active NPI

Tullio Emanuele MD, PSC

  • Interventional Cardiology Physician
  • Bowling Green, KY
National Provider Identifier
1457554750
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
39597 Issued in KY
Legal business name
TULLIO EMANUELE MD, PSC
Practice address
720 Second Street
Suite 204
Bowling Green, KY 42101-5852
Phone
(270) 782-6964
Fax
(270) 782-6988
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Tullio Emanuele, M.D.
Title
President
Phone
(270) 782-6964

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X 39597 KY Primary

Addresses

Primary practice location

720 Second Street
Suite 204
Bowling Green, KY 42101-5852

Mailing address

720 Second Street
Suite 204
Bowling Green, KY 42101-5852
Phone (270) 782-6964

National Provider Directory

National Provider Directory

Locations

427 US 31W Byp
Ste 201
Bowling Green, KY 42101
Phone (270) 904-0657

165 Natchez Trace Ave
Ste 203
Bowling Green, KY 42103

720 2nd Ave
Ste 204
Bowling Green, KY 42101
Phone (270) 782-6964

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1457554750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 SECOND STREET",
            "address_2": "SUITE 204",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015852",
            "telephone_number": "270-782-6964",
            "fax_number": "270-782-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SECOND STREET",
            "address_2": "SUITE 204",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421015852",
            "telephone_number": "270-782-6964",
            "fax_number": "270-782-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLIO EMANUELE MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "EMANUELE",
        "authorized_official_first_name": "TULLIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-782-6964",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "KY",
            "license": "39597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.