Preventive Cardiology Consultants, PA

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

PREVENTIVE CARDIOLOGY CONSULTANTS, PA

Practice address

6545 France Avenue S.
Suite #125
Edina, MN 55435

Phone

(952) 929-5600

Fax

(952) 929-5610

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Elizabeth Klodas, MD

Title

Provider/Owner

Phone

(952) 929-5600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1689600033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 EAST BUSH LAKE RD.",
            "address_2": "SUITE 320",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "55439",
            "telephone_number": "952-831-5773",
            "fax_number": "952-831-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVENUE S.",
            "address_2": "SUITE #125",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "952-929-5600",
            "fax_number": "952-929-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE CARDIOLOGY CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "KLODAS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "952-929-5600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Edina, MN
• Cardiovascular Disease Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.