NPIMap

Organization Active NPI

Kentucky Heart Institute

Doing business as Kentucky Heart & Vascular Physicians

  • Cardiovascular Disease Physician
  • Ashland, KY
National Provider Identifier
1578729109
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
KENTUCKY HEART INSTITUTE
Doing business as
Kentucky Heart & Vascular Physicians
Practice address
613 23Rd St
Suite 230
Ashland, KY 41101-2878
Phone
(606) 324-4745
Fax
(606) 325-0134
NPI assigned
Aug 4, 2008
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Sara Marks
Title
Administrator
Phone
(606) 324-4745

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Nurse Practitioner 363L00000X NU
Family Nurse Practitioner 363LF0000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU

Addresses

Primary practice location

613 23Rd St
Suite 230
Ashland, KY 41101-2878

Mailing address

PO Box 2380
Ashland, KY 41105-2380
Phone (606) 324-4745

Other identifiers 3

IdentifierTypeStateIssuer
7100051970MedicaidKY
2868384MedicaidOH
3810013225MedicaidWV

Other names 1

  • Kentucky Heart & Vascular Physicians Doing business as

National Provider Directory

National Provider Directory

Locations

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1578729109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2380",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052380",
            "telephone_number": "606-324-4745",
            "fax_number": "606-326-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST",
            "address_2": "SUITE 230",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012878",
            "telephone_number": "606-324-4745",
            "fax_number": "606-325-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY HEART INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MARKS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "606-324-4745"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100051970",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2868384",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013225",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Heart & Vascular Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.