Advanced Cardiovascular Consultants Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ADVANCED CARDIOVASCULAR CONSULTANTS INC

Practice address

531 Fifth Ave
Chardon, OH 44024-1088

Phone

(440) 285-2300

Fax

(440) 285-2320

NPI assigned

Sep 6, 2006

Last updated

Apr 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Gilbert Smith, MDNPI 1316980246

Title

President

Phone

(440) 285-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Cardiovascular Consultants Inc

  • Cardiovascular Disease Physician
  • Chardon, OH
  • NPI 1942472881

  O20040810000389

  Same enrollment

Locations

Practitioners 8

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.

• Agustus A Beck, MD

  • Internal Medicine Physician
  • Chardon, OH
  • NPI 1154314797
  Medicare reassignment Care Compare group
• David G Smith, M.D.

  • Cardiovascular Disease Physician
  • Painesville, OH
  • NPI 1316980246
  Medicare reassignment Authorized official
• Krishnan Sundararajan, M.D.

  • Cardiovascular Disease Physician
  • Chardon, OH
  • NPI 1285672642
  Medicare reassignment Care Compare group
• Stephanie Brewster, CNP

  • Nurse Practitioner
  • Chardon, OH
  • NPI 1306432232
  Medicare reassignment
• Maria Mullet

  • Acute Care Nurse Practitioner
  • Chardon, OH
  • NPI 1528794773
  Medicare reassignment
• Katelynn Amber Picabo Salyan

  • Family Nurse Practitioner
  • Chardon, OH
  • NPI 1487500526
  Medicare reassignment
• Anna Katherine Sirk, RN, BSN, FNP - C.

  • Nurse Practitioner
  • Chagrin Falls, OH
  • NPI 1992483549
  Medicare reassignment
• Danielle Tilton, CNP

  • Nurse Practitioner
  • Chardon, OH
  • NPI 1275068652
  Medicare reassignment

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617321600000",
    "number": "1851494793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 7TH AVE",
            "address_2": "SUIET 222",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440247804",
            "telephone_number": "440-285-2300",
            "fax_number": "440-285-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 FIFTH AVE",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241088",
            "telephone_number": "440-285-2300",
            "fax_number": "440-285-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARDIOVASCULAR CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-285-2300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2488642",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laura Alison Adamovich
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• Advanced Chardon Chiropractic Inc.
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• Sam Afshari
• Elise L Aitken, PCC

• Cardiovascular Disease Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.