Organization Active NPI

Midwest Cardiovascular, Inc.

  • Cardiovascular Disease Physician
  • Saint Louis, MO
National Provider Identifier
1649468786
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R1E18 Issued in MO
Legal business name
MIDWEST CARDIOVASCULAR, INC.
Practice address
1031 Bellevue Ave Ste 200
Saint Louis, MO 63117-1856
Phone
(314) 644-5650
Fax
(314) 644-1524
NPI assigned
Oct 12, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Nancy Bodet, RN
Title
RN/Office Manager
Phone
(314) 644-5650

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X R1E18 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1031 Bellevue Ave Ste 200
Saint Louis, MO 63117-1856

Mailing address

1031 Bellevue Ave Ste 200
Saint Louis, MO 63117-1856
Phone (314) 644-5650

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1649468786OtherMONPI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 15, 2007.

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1649468786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171856",
            "telephone_number": "314-644-5650",
            "fax_number": "314-644-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 BELLEVUE AVE STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171856",
            "telephone_number": "314-644-5650",
            "fax_number": "314-644-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARDIOVASCULAR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "BODET",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "RN/OFFICE MANAGER",
        "authorized_official_telephone_number": "314-644-5650",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R1E18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649468786",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.