Organization Active NPI

My Heart Partners PC

  • Cardiovascular Disease Physician
  • Saint Joseph, MI
National Provider Identifier
1508051863
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301071519 Issued in MI
Legal business name
MY HEART PARTNERS PC
Practice address
3078 Niles Rd
Saint Joseph, MI 49085-8608
Phone
(269) 428-4620
Fax
(269) 428-4625
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Mr. Timothy S Knapp
Title
Coo
Phone
(269) 428-4620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 4301071519 MI Primary

Addresses

Primary practice location

3078 Niles Rd
Saint Joseph, MI 49085-8608

Mailing address

3078 Niles Rd
Saint Joseph, MI 49085-8608
Phone (269) 428-4620

Other identifiers 1

IdentifierTypeStateIssuer
BE071519OtherMIBCBSM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1508051863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3078 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858608",
            "telephone_number": "269-428-4620",
            "fax_number": "269-428-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858608",
            "telephone_number": "269-428-4620",
            "fax_number": "269-428-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEART PARTNERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "KNAPP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "269-428-4620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301071519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "BE071519",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.