Organization Active NPI

Appalachian Cardiovascular Associates

  • Interventional Cardiology Physician
  • Fort Payne, AL
National Provider Identifier
1508993668
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
24558 Issued in AL
Legal business name
APPALACHIAN CARDIOVASCULAR ASSOCIATES
Practice address
1990 Gault Ave N
Suite 200
Fort Payne, AL 35967-3418
Phone
(256) 997-9200
Fax
(256) 997-0002
NPI assigned
Feb 27, 2007
Last updated
Oct 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Authorized official

Name
Dr. Sanjeev Saxena, M.D.NPI 1093701120
Title
Owner
Phone
(256) 997-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X 24558 AL Primary

Addresses

Primary practice location

1990 Gault Ave N
Suite 200
Fort Payne, AL 35967-3418

Mailing address

PO Box 681239
Fort Payne, AL 35968-1613
Phone (256) 997-9200

National Provider Directory

National Provider Directory

Locations

1990 Gault Ave N
#200
Fort Payne, AL 35967
Phone (256) 997-9200

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319414400000",
    "number": "1508993668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681239",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681613",
            "telephone_number": "256-997-9200",
            "fax_number": "256-997-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 GAULT AVE N",
            "address_2": "SUITE 200",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359673418",
            "telephone_number": "256-997-9200",
            "fax_number": "256-997-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPALACHIAN CARDIOVASCULAR ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-10-24",
        "status": "A",
        "authorized_official_last_name": "SAXENA",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-997-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "24558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; 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.