Cardiovascular Diagnostic Center

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

11314R Issued in LA

Legal business name

CARDIOVASCULAR DIAGNOSTIC CENTER

Practice address

402 McMillan Rd
West Monroe, LA 71291-5326

Phone

(318) 338-3540

Fax

(318) 335-3542

NPI assigned

Feb 5, 2007

Last updated

Dec 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Virginia Y Gonzalez, M.D.NPI 1831272350

Title

Owner

Phone

(318) 338-3540

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 5

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.

• Virginia Yajaira Gonzalez, M.D.

  • Cardiovascular Disease Physician
  • West Monroe, LA
  • NPI 1831272350
  Medicare reassignment Care Compare group NPD Authorized official
• Mandy Gibson, APRN, FNP-C

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1639901424
  Medicare reassignment Care Compare group NPD
• Brenda Renaye Smith

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1730493966
  Medicare reassignment Care Compare group NPD
• Haley Bennett Branch

  • Family Nurse Practitioner
  • West Monroe, LA
  • NPI 1831950401
  Medicare reassignment Care Compare group
• Nancy Jepsen Busby, NP

  • Family Nurse Practitioner
  • Chatham, LA
  • NPI 1740449057
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356825600000",
    "number": "1497894620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326",
            "telephone_number": "318-338-3540",
            "fax_number": "318-335-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915326",
            "telephone_number": "318-338-3540",
            "fax_number": "318-335-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2012-12-30",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-338-3540",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "11314R",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "LA",
            "license": "11314R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1667781",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Meredith Caldwell, DDS
• Calhoun Family Care Clinic LLC (Delta Family Care Clinic)
• Edward Hoben Calvert, MD
• Mary Katherine Cantrell, NP
• Cardiovascular & Internal Medicine Associates, Inc
• Care Partners, LLC (Care Partners Home Health)
• Samuel David Carradine Jr.
• Christal Terral Carter, M.S., CCC-SLP
• Madison Claire Carter
• Joe Case, CIT

• Cardiovascular Disease Physician in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2012; 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.