St. Mary'S Cardiology, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ST. MARY'S CARDIOLOGY, LLC

Practice address

120 Hospital Drive
Jefferson City, TN 37760-5281

Phone

(865) 471-2570

Fax

(865) 471-2571

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Debra K London

Title

Chief Executive Officer

Phone

(865) 545-7558

Specialties & licenses 1

Addresses

Other names 1

• Jefferson Heart Consultants Doing business as

Locations

Practitioners 2

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

• Lee Robert Dilworth, MD

  • Cardiovascular Disease Physician
  • Knoxville, TN
  • NPI 1043209844
  NPD (past)
• Spencer W Hinds, M.D.

  • Cardiovascular Disease Physician
  • Bellingham, WA
  • NPI 1346246790
  NPD (past)

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1497943583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E OAK HILL AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379174505",
            "telephone_number": "865-545-8000",
            "fax_number": "865-545-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DRIVE",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605281",
            "telephone_number": "865-471-2570",
            "fax_number": "865-471-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "865-545-7558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Heart Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa D Smith, D.PH.
• Tabetha Ann Sparks, APN
• Rebecca Speight, ATC, LAT
• Dennis U Spjut, PHD
• St Marys OBGYN LLC
• Martha Startup, PT
• Carol Steele, PH.D.
• Stephen Bencho
• Rachael Stephenson, PHARMD
• Teresa R. Stepp, AU.D

• Cardiovascular Disease Physician in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Cardiovascular Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.