Cardiovascular Management Inc

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

CARDIOVASCULAR MANAGEMENT INC

Practice address

104 Greentree Dr
Tahlequah, OK 74464-4113

Phone

(918) 231-6827

Fax

(918) 207-0006

NPI assigned

Oct 14, 2008

Organization subpart

No

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

Authorized official

Name

Robert Young, CST/SFANPI 1396997920

Title

President

Phone

(918) 231-6827

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Young, CST/SFA

  • Surgical Technologist
  • Tahlequah, OK
  • NPI 1396997920
  NPD (past) Authorized official

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1760634398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GREENTREE DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644113",
            "telephone_number": "918-231-6827",
            "fax_number": "918-207-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 GREENTREE DR",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644113",
            "telephone_number": "918-231-6827",
            "fax_number": "918-207-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-14",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-231-6827",
        "authorized_official_credential": "CST/SFA"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stuart Austin Koakai Cano, DO
• Ashley N Canoe
• Christina Capers
• Alia Cappellani, OD
• Cardiovascular Capital
• Cardiovascular Surgical Specialists Corp
• Rhonda Carey, BHRS
• Mary C Carlile, M.D.
• Leland Carr, OD
• Hannah Lee Carrizales

• Surgical Technologist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Surgical Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.