Organization Active NPI

Cardiovascular Pulmonary Research Foundation

  • Cardiovascular Specialist/Technologist
  • Macon, GA
National Provider Identifier
1467905430
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
License
22658 Issued in GA
Legal business name
CARDIOVASCULAR PULMONARY RESEARCH FOUNDATION
Practice address
114 Idle Hour Dr
Macon, GA 31210-4434
Phone
(478) 955-4358
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. Joseph M Vandewater, M.D.NPI 1366978678
Title
Professor
Phone
(478) 955-4358

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 Specialist/Technologist 246X00000X 22658 GA Primary

Addresses

Primary practice location

114 Idle Hour Dr
Macon, GA 31210-4434

Mailing address

114 Idle Hour Dr
Macon, GA 31210-4434
Phone (478) 955-4358

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1467905430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 IDLE HOUR DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104434",
            "telephone_number": "478-955-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 IDLE HOUR DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104434",
            "telephone_number": "478-955-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR PULMONARY RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "VANDEWATER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROFESSOR",
        "authorized_official_telephone_number": "478-955-4358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "GA",
            "license": "22658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.