Center for Preventative Cardiovascular Care PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CENTER FOR PREVENTATIVE CARDIOVASCULAR CARE PC

Practice address

1513 Johnson Ferry Rd
Suite 175
Marietta, GA 30062-8101

Phone

(678) 560-1400

Fax

(678) 560-1401

NPI assigned

Mar 16, 2008

Last updated

Mar 16, 2008By 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

Ms. Barbara Smrecak

Title

Administrator

Phone

(678) 560-1400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lyudmila Tavrovsky, MD

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1083605687
  NPD (past)
• Stacy Hofman Jaskwhich, N.P.

  • Nurse Practitioner
  • Seneca, SC
  • NPI 1770540726
  NPD (past)

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205625600000",
    "number": "1649441882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 JOHNSON FERRY RD",
            "address_2": "SUITE 175",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628101",
            "telephone_number": "678-560-1400",
            "fax_number": "678-560-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 JOHNSON FERRY RD",
            "address_2": "SUITE 175",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300628101",
            "telephone_number": "678-560-1400",
            "fax_number": "678-560-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PREVENTATIVE CARDIOVASCULAR CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-16",
        "last_updated": "2008-03-16",
        "status": "A",
        "authorized_official_last_name": "SMRECAK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-560-1400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-Marietta)

• Cardiovascular Disease Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Cardiovascular Disease Physician in Georgia

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