Advanced Cardiovascular Development, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED CARDIOVASCULAR DEVELOPMENT, LLC

Practice address

2123 Executive Park Drive
Opelika, AL 36801

Phone

(334) 704-0307

Fax

(334) 704-0578

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Packer W Amy

Title

Billing Manager

Phone

(888) 745-0211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760604243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 EXECUTIVE PARK DRIVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-704-0307",
            "fax_number": "334-704-0578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 EXECUTIVE PARK DRIVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "36801",
            "telephone_number": "334-704-0307",
            "fax_number": "334-704-0578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMY",
        "authorized_official_first_name": "PACKER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "888-745-0211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Cardiovascular Disease Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.