Organization Active NPI

Southern Tennessee Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Winchester, TN
National Provider Identifier
1649504143
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SOUTHERN TENNESSEE CARDIOLOGY, PLLC
Practice address
155 Hospital Rd
Ste. G
Winchester, TN 37398-2494
Phone
(931) 967-7227
NPI assigned
Sep 30, 2009
Last updated
Sep 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2009

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

Authorized official

Name
Mircea Basaraba, M.D.NPI 1316974637
Title
Owner
Phone
(931) 967-7227

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

155 Hospital Rd
Ste. G
Winchester, TN 37398-2494

Mailing address

155 Hospital Rd
Ste. G
Winchester, TN 37398-2494
Phone (931) 967-7227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000346 TN Part B Supplier - Clinic/Group Practice 4587703004 Receives reassigned benefits from 2 practitioners
Practice locations: Winchester, TN

National Provider Directory

National Provider Directory

Locations

155 Hospital Rd
Ste G
Winchester, TN 37398
Phone (931) 962-0450

2210 Cowan Hwy
Winchester, TN 37398
Phone (931) 308-3277

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DHIHAA

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1649504143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD",
            "address_2": "STE. G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982494",
            "telephone_number": "931-967-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HOSPITAL RD",
            "address_2": "STE. G",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982494",
            "telephone_number": "931-967-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN TENNESSEE CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "BASARABA",
        "authorized_official_first_name": "MIRCEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-967-7227",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.