Cardiovascular Consultants of Marion PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

02001087A Issued in IN

Legal business name

CARDIOVASCULAR CONSULTANTS OF MARION PC

Practice address

1123 N Western Ave
Marion, IN 46952-2501

Phone

(765) 651-9347

Fax

(765) 651-9346

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Gary Allen Frick, DO

Title

Owner

Phone

(765) 651-9347

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1639569171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522501",
            "telephone_number": "765-651-9347",
            "fax_number": "765-651-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 N WESTERN AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522501",
            "telephone_number": "765-651-9347",
            "fax_number": "765-651-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF MARION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "FRICK",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-651-9347",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02001087A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100370010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Cannon
• Colt Allen Cansler, PA-C
• James Jess Capen
• Cardiosom, LLC
• Cardiovascular Associates PC
• Carey Services, Inc.
• Carey Services, Inc.
• Kayla R Carlson, LSW
• Rebekah Carp, RBT
• Arianna Katelyn Carpenter, BS ; RBT

• Cardiovascular Disease Physician in Marion, IN
• Providers in Marion, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.