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Organization Active NPI

Mount Carmel Health Providers Two, LLC

Doing business as Mount Carmel Clinical Cardiovascular Specialist

  • Cardiovascular Disease Physician
  • Delaware, OH
National Provider Identifier
1811126188
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MOUNT CARMEL HEALTH PROVIDERS TWO, LLC
Doing business as
Mount Carmel Clinical Cardiovascular Specialist
Practice address
551 W Central Ave
Delaware, OH 43015-1493
Phone
(740) 368-5077
Fax
(614) 459-7681
NPI assigned
Jul 8, 2009
Last updated
Aug 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Diana Hancock
Title
Credentialing Coordinator
Phone
(614) 546-4621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

551 W Central Ave
Delaware, OH 43015-1493

Mailing address

PO Box 951144
Cleveland, OH 44193-0005
Phone (614) 546-4400

Other names 1

  • Mount Carmel Clinical Cardiovascular Specialist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel Health Provider Two LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1811126188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951144",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930005",
            "telephone_number": "614-546-4400",
            "fax_number": "614-546-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W CENTRAL AVE",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151493",
            "telephone_number": "740-368-5077",
            "fax_number": "614-459-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HEALTH PROVIDERS TWO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "614-546-4621"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Carmel Clinical Cardiovascular Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.