Cardinal Cardiovascular Center LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

CARDINAL CARDIOVASCULAR CENTER LLC

Practice address

2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313

Phone

(314) 827-4701

NPI assigned

Apr 19, 2020

Last updated

Jul 11, 2021By 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

Dr. Afnan Tariq, MD

Title

Member

Phone

(314) 827-4701

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1587254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625961600000",
    "number": "1669092722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HIGHLAND POINTE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311420",
            "telephone_number": "314-827-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 DOUGHERTY FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631223313",
            "telephone_number": "314-827-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL CARDIOVASCULAR CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-19",
        "last_updated": "2021-07-11",
        "certification_date": "2021-07-11",
        "status": "A",
        "authorized_official_last_name": "TARIQ",
        "authorized_official_first_name": "AFNAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "314-827-4701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Carbone, RBT
• Rachel Kathleen Cardaci
• Juan O Carden, M.D.
• Cardiac Cin of St Louis LLC
• Cardiac Diagnostic Center LLC
• Cardinal Care Pharmacy Inc (Cardinal Care Pharmacy)
• Cardinal Glennon Children's Hospital
• Cardinal Home Health Care LLC
• Cardinal Home Health Care Services LLC
• Cardinal Independence, LLC

• Interventional Cardiology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Interventional Cardiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2021; 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.