NPIMap

Organization Active NPI

Northwest Oklahoma Cardiovascular Consultants PC

  • Cardiovascular Disease Physician
  • Enid, OK
National Provider Identifier
1467541854
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21462 Issued in OK
Legal business name
NORTHWEST OKLAHOMA CARDIOVASCULAR CONSULTANTS PC
Practice address
2411 Heritage TRL Ste 10
Enid, OK 73703-1652
Phone
(580) 242-5800
Fax
(580) 242-5881
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. John Joseph Bartolozzi II, MD
Title
Owner
Phone
(580) 242-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 21462 OK Primary

Addresses

Primary practice location

2411 Heritage TRL Ste 10
Enid, OK 73703-1652

Mailing address

PO Box 946
Enid, OK 73702-0946
Phone (580) 242-5800

Other identifiers 2

IdentifierTypeStateIssuer
DA4205OtherOKRAILROAD MEDICARE
200021920AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1218 W Willow Rd
Ste A
Enid, OK 73703
Phone (580) 233-2176

2411 Heritage Trl
Ste 10
Enid, OK 73703
Phone (580) 233-1425

Practitioners & affiliated clinicians

Practitioners 4

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1467541854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 946",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737020946",
            "telephone_number": "580-242-5800",
            "fax_number": "580-242-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HERITAGE TRL STE 10",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031652",
            "telephone_number": "580-242-5800",
            "fax_number": "580-242-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST OKLAHOMA CARDIOVASCULAR CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "BARTOLOZZI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-242-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "21462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4205",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.