Active NPI
Cardiology Southwest, P.C.
- Cardiovascular Disease Physician
- Niles, MI
National Provider Identifier
1861572810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- JH009955
- Legal business name
- CARDIOLOGY SOUTHWEST, P.C.
- Practice address
- 61 N Saint Joseph Ave
Niles, MI 49120-2207 - Phone
- (269) 684-6777
- Fax
- (269) 683-5384
- NPI assigned
- Oct 16, 2006
- Last updated
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Julie Shearer
- Title
- Medical Billing
- Phone
- (269) 684-6777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | JH009955 | MI | Primary |
Addresses
Primary practice location
61 N Saint Joseph Ave
Niles, MI 49120-2207
Mailing address
61 N Saint Joseph Ave
Niles, MI 49120-2207
Phone (269) 684-6777
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00057496 | Other | MI | RAILROAD MEDICARE |
| DG8877 | Other | MI | RAILROAD MEDICARE GROUP |
| 060060536 | Other | MI | RAILROAD MEDICARE |
| 0A11085 | Other | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208822400000",
"number": "1861572810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 N SAINT JOSEPH AVE",
"city": "NILES",
"state": "MI",
"postal_code": "491202207",
"telephone_number": "269-684-6777",
"fax_number": "269-683-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 N SAINT JOSEPH AVE",
"city": "NILES",
"state": "MI",
"postal_code": "491202207",
"telephone_number": "269-684-6777",
"fax_number": "269-683-5384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY SOUTHWEST, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2008-04-22",
"status": "A",
"authorized_official_last_name": "SHEARER",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "MEDICAL BILLING",
"authorized_official_telephone_number": "269-684-6777",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "JH009955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00057496",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DG8877",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060060536",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0A11085",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Niles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.