Active NPI
Preventive Cardiology Consultants, PA
- Cardiovascular Disease Physician
- Edina, MN
National Provider Identifier
1689600033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
- Last updated
- Mar 16, 2010
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
6545 France Avenue S.
Suite #125
Edina, MN 55435
Mailing address
7801 East Bush Lake Rd.
Suite 320
Bloomington, MN 55439
Phone (952) 831-5773
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Cardiovascular Disease Physician
- Edina, MN
- NPI 1194792978
NPI Registry JSON
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": []
}
Other providers in Edina, MN
- Premier Spine and Pain Clinics, PLLC
- Premier Sport Psychology, PLLC
- Premise Health of Minnesota Medical P C (Children's Employee Health Services)
- Zachary E Pressman, MD
- Kari Lynn Prestholdt, MPT
- Preventive Cardiology Institute
- Erin Faricy Price, LICSW MSW
- Jonelle Elaine Price, PAC
- Amelia Marie Prideaux, DC
- William Priest
Sources for this page
- 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.