Organization Active NPI

Patient Choice Cardiology, P.S.C.

  • Interventional Cardiology Physician
  • Edgewood, KY
National Provider Identifier
1871545004
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
PATIENT CHOICE CARDIOLOGY, P.S.C.
Practice address
20 Medical Village Dr
Ste. 177
Edgewood, KY 41017-5401
Phone
(859) 331-3353
Fax
(859) 331-3326
NPI assigned
May 16, 2006
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Jerry J. Lierl, M.D.NPI 1679541163
Title
Owner
Phone
(859) 331-3353

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Interventional Cardiology Physician 207RI0011X NU Primary

Addresses

Primary practice location

20 Medical Village Dr
Ste. 177
Edgewood, KY 41017-5401

Mailing address

L6099
Cincinnati, OH 45270-6099
Phone (859) 331-3353

Other identifiers 2

IdentifierTypeStateIssuer
DE7424OtherKYRAILROAD MEDICARE
65944886MedicaidKY

National Provider Directory

National Provider Directory

Locations

20 Medical Village Dr
Ste 177
Edgewood, KY 41017
Phone (859) 331-3353

L6099
Cincinnati, OH 45270

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1871545004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "L6099",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452706099",
            "telephone_number": "859-331-3353",
            "fax_number": "859-331-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR",
            "address_2": "STE. 177",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410175401",
            "telephone_number": "859-331-3353",
            "fax_number": "859-331-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CHOICE CARDIOLOGY, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "LIERL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-331-3353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE7424",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65944886",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.