LGLN Cardiology Consultants,LLC

Key facts

NPI: 1841318367
Entity type: Organization (NPI type 2)
Primary specialty: Cardiovascular Disease Physician 207RC0000X
Legal business name: LGLN CARDIOLOGY CONSULTANTS,LLC
Practice address: 407 East Avenue
Suite 130
Pawtucket, RI 02860
Phone: (401) 726-7727
Fax: (401) 726-7775
NPI assigned: Mar 26, 2007
Organization subpart: No

Authorized official

Name: Christopher J Luttmann, MD NPI 1891834958
Title: President
Phone: (401) 726-7727

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Christopher J Luttmann, MD Cardiovascular Disease Physician · Pawtucket, RI · NPI 1891834958

NPD (past) Authorized official CARDIOVASCULAR DISEASE

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Cardiovascular Disease Physician Group: 193400000X SINGLE SPECIALTY GROUP	207RC0000X		RI	Yes

Addresses

Primary practice location

407 East Avenue
Suite 130
Pawtucket, RI 02860

Mailing address

407 East Avenue
Suite 130
Pawtucket, RI 02860
Phone (401) 726-7727

Other identifiers

Identifier	Type	State	Issuer
GC53503	Medicaid	RI

Other names

GLL Cardiology LLC Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 4, 2013.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1841318367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 EAST AVENUE",
            "address_2": "SUITE 130",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-726-7727",
            "fax_number": "401-726-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 EAST AVENUE",
            "address_2": "SUITE 130",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-726-7727",
            "fax_number": "401-726-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LGLN CARDIOLOGY CONSULTANTS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "LUTTMANN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-726-7727",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GC53503",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLL Cardiology LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pawtucket, RI

All providers in Pawtucket, RI · Cardiovascular Disease Physician in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.