Organization Active NPI

Cullman Heart & Urgent Care PC

  • Specialist
  • Cullman, AL
National Provider Identifier
1649334301
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17814 Issued in AL
Legal business name
CULLMAN HEART & URGENT CARE PC
Practice address
1801 Parkview Dr NE
Cullman, AL 35058-3618
Phone
(256) 775-6550
Fax
(256) 775-6772
NPI assigned
Dec 20, 2006
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Mir Kwon Varquez, M.D.
Title
President
Phone
(256) 775-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17814 AL Primary

Addresses

Primary practice location

1801 Parkview Dr NE
Cullman, AL 35058-3618

Mailing address

1801 Parkview Dr NE
Cullman, AL 35058-3618
Phone (256) 775-6550

Other identifiers 4

IdentifierTypeStateIssuer
51029544OtherALBLUE CROSS & BLUE SHIELD
51542451OtherALBLUE CROSS & BLUE SHIELD
51007299OtherALBLUE CROSS & BLUE SHIELD
51007426OtherALBLUE CROSS & BLUE SHIELD

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

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": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1649334301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PARKVIEW DR NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583618",
            "telephone_number": "256-775-6550",
            "fax_number": "256-775-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PARKVIEW DR NE",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583618",
            "telephone_number": "256-775-6550",
            "fax_number": "256-775-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULLMAN HEART & URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "VARQUEZ",
        "authorized_official_first_name": "MIR",
        "authorized_official_middle_name": "KWON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-775-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "17814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51029544",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51542451",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51007299",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51007426",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.