Organization Active NPI

Midwest Cardiovascular Consultants LLC

  • Cardiovascular Disease Physician
  • Defiance, OH
National Provider Identifier
1821369307
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MIDWEST CARDIOVASCULAR CONSULTANTS LLC
Practice address
1250 Ralston Ave
Suite 203a
Defiance, OH 43512-5311
Phone
(419) 783-6895
Fax
(419) 782-4459
NPI assigned
Jan 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Amy L Bahnsen
Title
Credentialing Supervisor
Phone
(419) 824-7334

Specialties & licenses 1

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

Addresses

Primary practice location

1250 Ralston Ave
Suite 203a
Defiance, OH 43512-5311

Mailing address

1250 Ralston Ave
Suite 203a
Defiance, OH 43512-5311
Phone (419) 783-6895

Other names 1

  • Cardiocare Consultants Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cardiocare Consultants3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1821369307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE",
            "address_2": "SUITE 203A",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125311",
            "telephone_number": "419-783-6895",
            "fax_number": "419-782-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 RALSTON AVE",
            "address_2": "SUITE 203A",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435125311",
            "telephone_number": "419-783-6895",
            "fax_number": "419-782-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST CARDIOVASCULAR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "BAHNSEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "419-824-7334"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiocare Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Defiance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.