Cardiac Care Center of Louisville PLLC
Organization Active NPI Cardiovascular Disease Physician · Sellersburg, IN
NPI 1487858890 · NPPES record last updated Sep 26, 2007
Key facts
- NPI
- 1487858890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- CARDIAC CARE CENTER OF LOUISVILLE PLLC
- Practice address
- 213 Hunter Station Rd
Sellersburg, IN 47172-1879 - Phone
- (812) 248-2560
- Fax
- (812) 248-2560
- NPI assigned
- Jun 12, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- CARDIAC CARE CENTER OF LOUISVILLE, PLLC
Authorized official
- Name
- Dr. Jesse Earl Adams III, M.D.
- Title
- Owner
- Phone
- (502) 585-4321
Corporate family (same tax ID) 8
National Provider Directory
- Tax ID family
- Cardiac Care Center of
- Part of
- Cardiac Care Center of
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes | ||
| Clinical Cardiac Electrophysiology Physician |
207RC0001X | |||
| Interventional Cardiology Physician |
207RI0011X | |||
| Nuclear Cardiology Physician |
207UN0901X | |||
| Medical Physician Assistant |
363AM0700X | |||
| Acute Care Nurse Practitioner |
363LA2100X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
213 Hunter Station Rd
Sellersburg, IN 47172-1879
Mailing address
PO Box 457
Louisville, KY 40201-0457
Phone (502) 585-4321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78902657 | Medicaid | KY | |
| 95900494 | Medicaid | KY | |
| 65901324 | Medicaid | KY |
Other providers in Sellersburg, IN
- Bennett Christopher Beyl
- Gregory Karl Bielefeld
- Connie Marie Bissig
- Sunny Bridges
- Valerie June Brooks Tate
- Carefirst Home Caregivers LLC
- Carefirst Hospice LLC
- Carefirst Rehab LLC
- Carefirst Therapies, LLC
- CC Spa & the Pampering People, LLC
All providers in Sellersburg, IN · Cardiovascular Disease Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.