Southeast Iowa Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SOUTHEAST IOWA CARDIOLOGY

Practice address

1223 S Gear Ave
Suite 201
West Burlington, IA 52655-1682

Phone

(319) 754-4004

Fax

(319) 753-5498

NPI assigned

May 2, 2006

Last updated

Feb 13, 2015By 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

Dr. Anthony V Lazar, M.D.

Title

President

Phone

(319) 754-4004

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Anthony L Lazar, M.D.

  • Cardiovascular Disease Physician
  • West Burlington, IA
  • NPI 1144288069
  NPD (past)
• Mark L Woodard, D.O.

  • Cardiovascular Disease Physician
  • West Burlington, IA
  • NPI 1114975141
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1780642694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 201",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-754-4004",
            "fax_number": "319-753-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 S GEAR AVE",
            "address_2": "SUITE 201",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551682",
            "telephone_number": "319-754-4004",
            "fax_number": "319-753-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "LAZAR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-754-4004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0457549",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37984",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "37985",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC4706",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David C Smith, DO
• Jodi Jane Smith, ARNP
• Julie Ann Snavely
• Jonathan W Snow, M.D.
• Anjali Katiyar Sobti, M.D.
• Southeast Iowa Regional Medical Center, Inc (Laboratory-Southeast Iowa Regional Medical Center)
• Southeast Iowa Regional Medical Center, Inc. (Great River Home Health and Hospice)
• Southeast Iowa Regional Medical Center, Inc. (Southeast Iowa Regional Medical Center)
• Southeast Iowa Regional Medical Center, Inc. (Southeast Iowa Regional Medical Center)
• Southeast Iowa Regional Medical Center, Inc. (Great River Klein Center)

• Cardiovascular Disease Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Cardiovascular Disease Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.