Grand Heart, LLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

GRAND HEART, LLC

Practice address

2605 N Lebanon St
Lebanon, IN 46052-1476

Phone

(414) 429-5125

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Chad Bonhomme, MDNPI 1760432470

Title

Owner

Phone

(414) 429-2125

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 3

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

• Chad E Bonhomme, MD

  • Clinical Cardiac Electrophysiology Physician
  • Westfield, IN
  • NPI 1760432470

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official
• Anne L. Ford, MD

  • Cardiovascular Disease Physician
  • Westfield, IN
  • NPI 1649398736
  Medicare reassignment NPD
• Fabian Jorge Arnaldo, MD

  • Clinical Cardiac Electrophysiology Physician
  • Saint Joseph, MI
  • NPI 1245382852

  Cardiovascular Disease, IN

  Medicare reassignment NPD

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1487422481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 WASHINGTON BLVD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203060",
            "telephone_number": "414-429-2125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 N LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460521476",
            "telephone_number": "414-429-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HEART, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "BONHOMME",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-429-2125",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsey M Goodrich, RBT
• Dorothea Mueller Goold, M.S.,LMFT
• Eitan M Gordon, ED.S.
• Zachary Nathan Gordon, MD
• Chasity Graham
• Christian P Gray, RBT
• Phillip Wesley Graybiel, LMHC
• Cassandra Green, FNP
• Christopher Scott Green, MD
• April Greene

• Clinical Cardiac Electrophysiology Physician in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Clinical Cardiac Electrophysiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.