Active NPI
Cardiovascular Medical Specialists LLC
- Cardiovascular Disease Physician
- Louisville, KY
National Provider Identifier
1578085296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- CARDIOVASCULAR MEDICAL SPECIALISTS LLC
- Practice address
- 100 Mallard Creek Rd Ste 150
Louisville, KY 40207 - Phone
- (502) 589-7907
- Fax
- (502) 589-1319
- NPI assigned
- Jul 14, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Edward Newsom
- Title
- Chief Operating Officer
- Phone
- (812) 280-3302
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
100 Mallard Creek Rd Ste 150
Louisville, KY 40207
Mailing address
4601 Medical Plaza Way
Clarksville, IN 47129-9204
Phone (812) 280-3302
National Provider Directory
National Provider DirectoryLocations
9427 County Road 403
Charlestown, IN 47111
511 N Race St
Glasgow, KY 42141
Phone (270) 629-6060
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Knoxville, TN
- NPI 1568548006
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1578085296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 MEDICAL PLAZA WAY",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471299204",
"telephone_number": "812-280-3302",
"fax_number": "812-280-5960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MALLARD CREEK RD STE 150",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-589-7907",
"fax_number": "502-589-1319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOVASCULAR MEDICAL SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-14",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "NEWSOM",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "812-280-3302"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.