BN Northeast Cardiac Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BN NORTHEAST CARDIAC CENTER LLC

Practice address

10506 Montgomery Road
Suite G 103
Cincinnati, OH 45242-4487

Phone

(513) 865-5120

Fax

(513) 865-5121

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Patrick John Shea, M.D.

Title

Medical Director

Phone

(513) 865-5120

Specialties & licenses 2

Addresses

Other names 1

• Northeast Cardiovascular Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Bethesda Hospital Inc

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1336160308

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326758400000",
    "number": "1821050824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY ROAD",
            "address_2": "SUITE G 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424487",
            "telephone_number": "513-865-5120",
            "fax_number": "513-865-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10506 MONTGOMERY ROAD",
            "address_2": "SUITE G 103",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452424487",
            "telephone_number": "513-865-5120",
            "fax_number": "513-865-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BN NORTHEAST CARDIAC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-01-17",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "513-865-5120",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "HCF #1156 IC",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Cardiovascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean M. Blyth, LICDC
• Alicia Blythe-Moore, RN
• Christine Blythe, DO
• Melissa Blythe
• Micah Blythe
• Anne Christine Boat, MD
• Barbara W Boat, PH.D
• Thomas F Boat, M.D.
• Emmanuel Kankam Boateng Jr.
• Felix Boateng

• Medical Specialty Clinic/Center in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; 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.