NPIMap

Organization Active NPI

Eau Claire Heart Institute

  • Cardiovascular Disease Physician
  • Eau Claire, WI
National Provider Identifier
1669133260
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EAU CLAIRE HEART INSTITUTE
Practice address
659 West Hamilton Ave
Eau Claire, WI 54701-6925
Phone
(715) 831-4444
Fax
(920) 526-5248
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Abd G. KhatibNPI 1386600310
Title
President
Phone
(715) 831-4444

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

659 West Hamilton Ave
Eau Claire, WI 54701-6925

Mailing address

659 West Hamilton Ave
Eau Claire, WI 54701-6925
Phone (715) 831-4444

Other identifiers 2

IdentifierTypeStateIssuer
1386600310OtherWI1386600310
1386600310MedicaidWI

Other names 1

  • Eau Claire Heart Institute Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address agkhatib@eauclaireheart.com Direct
Direct Messaging Address agkhatib@eauclaireheart.com
Direct Messaging Address agkhatib@eauclaireheart.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1669133260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 WEST HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016925",
            "telephone_number": "715-831-4444",
            "fax_number": "920-526-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 WEST HAMILTON AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016925",
            "telephone_number": "715-831-4444",
            "fax_number": "920-526-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE HEART INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "KHATIB",
        "authorized_official_first_name": "ABD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-831-4444"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1386600310",
            "identifier": "1386600310",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386600310",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agkhatib@eauclaireheart.com",
            "affiliation": "N",
            "endpointDescription": "agkhatib@eauclaireheart.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4338 W Lowes Creek Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547017164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agkhatib@eauclaireheart.com",
            "affiliation": "N",
            "address_1": "4338 W Lowes Creek Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547017164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agkhatib@eauclaireheart.com",
            "affiliation": "N",
            "address_1": "4338 W Lowes Creek Rd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547017164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eau Claire Heart Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eau Claire Heart Institute",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.