NPIMap

Organization Active NPI

Lansing Cardiovascular Consultants PC

  • Cardiovascular Disease Physician
  • Holt, MI
National Provider Identifier
1811308323
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301063070 Issued in MI
Legal business name
LANSING CARDIOVASCULAR CONSULTANTS PC
Practice address
2380 Cedar St
Holt, MI 48842-2143
Phone
(517) 349-3303
Fax
(517) 349-4374
NPI assigned
May 19, 2014
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
LANSING CARDIOVASCULAR CONSULTANTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Eugene B Choo, MDNPI 1376612846
Title
President/Partner
Phone
(517) 349-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4704141434 MI
Cardiovascular Disease Physician 207RC0000X 4301052584 MI
Cardiovascular Disease Physician 207RC0000X 4301063070 MI Primary
Nuclear Medicine Physician 207U00000X 4301063079 MI

Addresses

Primary practice location

2380 Cedar St
Holt, MI 48842-2143

Mailing address

3413 Woods Edge
Okemos, MI 48864-5901
Phone (517) 349-3303

Other identifiers 4

IdentifierTypeStateIssuer
3464783MedicaidMI
19097861MedicaidMI
3043825MedicaidMI
4154785MedicaidMI

Other names 1

  • Patient Central Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1056857Lansing Cardiovascular Consultants, PC2380 N Cedar Street, Holt, MI 48842Certificate of waiverFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Lansing Cardiovascular Consultants PC2 organizations share this tax ID, including this one
Part of
Lansing Cardiovascular Consultants PC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1811308323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 WOODS EDGE",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488645901",
            "telephone_number": "517-349-3303",
            "fax_number": "517-349-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422143",
            "telephone_number": "517-349-3303",
            "fax_number": "517-349-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANSING CARDIOVASCULAR CONSULTANTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LANSING CARDIOVASCULAR CONSULTANTS PC",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "CHOO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "517-349-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4704141434",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301052584",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301063070",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "MI",
            "license": "4301063079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3464783",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19097861",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3043825",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4154785",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Central",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.