Kentuckiana Cardiovascular Specialists PSC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KENTUCKIANA CARDIOVASCULAR SPECIALISTS PSC

Practice address

100 Mallard Creek Rd Ste 150
Louisville, KY 40207-5138

Phone

(502) 589-7907

Fax

(502) 589-1319

NPI assigned

Mar 15, 2019

Last updated

Mar 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Newsom

Title

Manager

Phone

(502) 589-7907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1629537030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALLARD CREEK RD STE 150",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075138",
            "telephone_number": "502-589-7907",
            "fax_number": "502-589-1319"
        },
        {
            "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": "402075138",
            "telephone_number": "502-589-7907",
            "fax_number": "502-589-1319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKIANA CARDIOVASCULAR SPECIALISTS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-589-7907"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.