NPIMap

Organization Active NPI

Ohio Valley Heartcare Inc

  • Cardiovascular Disease Physician
  • Henderson, KY
National Provider Identifier
1538100995
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
OHIO VALLEY HEARTCARE INC
Practice address
914 N Elm St
Henderson, KY 42420-2711
Phone
(270) 830-6651
Fax
(270) 830-9811
NPI assigned
Jun 9, 2006
Last updated
Jul 12, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
OHIO VALLEY HEARTCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
KC Frescoln, CEO
Title
Ceo
Phone
(812) 473-2642

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Pediatric Cardiology Physician 2080P0202X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU

Addresses

Primary practice location

914 N Elm St
Henderson, KY 42420-2711

Mailing address

901 Saint Marys Dr
Ste 300
Evansville, IN 47714-0520
Phone (812) 473-2642

Other identifiers 2

IdentifierTypeStateIssuer
65910549MedicaidKY
78901425MedicaidKY

National Provider Directory

National Provider Directory
Part of
Ohio Valley Hearcare Inc

Locations

1405 Locust St
Eldorado, IL 62930
Phone (618) 273-3321

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1538100995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 SAINT MARYS DR",
            "address_2": "STE 300",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140520",
            "telephone_number": "812-473-2642",
            "fax_number": "812-474-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202711",
            "telephone_number": "270-830-6651",
            "fax_number": "270-830-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO VALLEY HEARTCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO VALLEY HEARTCARE INC",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "FRESCOLN",
        "authorized_official_first_name": "KC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "812-473-2642",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65910549",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78901425",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.