Organization Active NPI

Cardiovascular Specialists of the Cumberlands PLLC

  • Cardiovascular Disease Physician
  • London, KY
National Provider Identifier
1770749103
Registry record updated Dec 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
31517 Issued in KY
Legal business name
CARDIOVASCULAR SPECIALISTS OF THE CUMBERLANDS PLLC
Practice address
1406 W 5TH St
Suite 3
London, KY 40741-1688
Phone
(606) 864-5976
Fax
(606) 864-6828
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2008

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

Authorized official

Name
Anis G Chalhoub, MD
Title
Owner/Managing Member
Phone
(606) 864-5976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 31517 KY Primary

Addresses

Primary practice location

1406 W 5TH St
Suite 3
London, KY 40741-1688

Mailing address

1406 W 5TH St
Suite 3
London, KY 40741-1688
Phone (606) 864-5976

National Provider Directory

National Provider Directory

Locations

1707 Cumberland Falls Hwy
Ste 1
Corbin, KY 40701

1707 Cumberland Falls Hwy
Ste 421
Corbin, KY 40701
Phone 60638645936

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228435200000",
    "number": "1770749103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST",
            "address_2": "SUITE 3",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-864-5976",
            "fax_number": "606-864-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W 5TH ST",
            "address_2": "SUITE 3",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411688",
            "telephone_number": "606-864-5976",
            "fax_number": "606-864-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF THE CUMBERLANDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-12-05",
        "status": "A",
        "authorized_official_last_name": "CHALHOUB",
        "authorized_official_first_name": "ANIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "606-864-5976",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "31517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.