Concierge Cardiology PC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

02001043A Issued in IN

Legal business name

CONCIERGE CARDIOLOGY PC

Practice address

824 Lincolnway
Loft #2
La Porte, IN 46350-3411

Phone

(219) 380-5724

Fax

(219) 575-7345

NPI assigned

Oct 12, 2012

Last updated

Jan 29, 2013By 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

Joseph Rosenblum, DONPI 1609861509

Title

Ceo

Phone

(219) 929-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Joseph Rosenblum, DO

  • Internal Medicine Physician
  • La Porte, IN
  • NPI 1609861509
  Authorized official Same address or phone
• Douglas J Van Putten, MD,FACS

  • Ophthalmology Physician
  • Loma Linda, CA
  • NPI 1851378558
  NPD (past)

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1699027763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LINCOLNWAY",
            "address_2": "SUITE G",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835856",
            "telephone_number": "219-476-0352",
            "fax_number": "219-531-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 LINCOLNWAY",
            "address_2": "LOFT #2",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503411",
            "telephone_number": "219-380-5724",
            "fax_number": "219-575-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "219-929-7900",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02001043A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201117450A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra A Clark, D.C.
• Clark's Family Chiropractic, LLC
• Andrea L Coffeen, OTR
• Jennifer Lynn Coffeen
• Alexandra D Cominos, MS
• Amelia Contri
• Grant Anthony Cooper, PHARMD
• Sarah Corder, PHARMD
• Walter R Corder II, FNP-C
• Ronald Keith Corley, DDS

• Cardiovascular Disease Physician in La Porte, IN
• Providers in La Porte, IN by specialty
• Cardiovascular Disease Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.