Midamerica Cardiovascular Institute P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

19950 Issued in NE

Legal business name

MIDAMERICA CARDIOVASCULAR INSTITUTE P.C.

Practice address

8552 Cass St Ste 201
Omaha, NE 68114-3570

Phone

(402) 393-8443

Fax

(402) 393-8677

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Juan J Vazquez-Bauza, MD

Title

President

Phone

(402) 393-8443

Specialties & licenses 5

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402444800000",
    "number": "1881614709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8552 CASS ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143570",
            "telephone_number": "402-393-8443",
            "fax_number": "402-393-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8552 CASS ST STE 201",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143570",
            "telephone_number": "402-393-8443",
            "fax_number": "402-393-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDAMERICA CARDIOVASCULAR INSTITUTE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-06-11",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ-BAUZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-393-8443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "19943",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "20956",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "19950",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "110706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "110198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024986600",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024986800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Cardiovascular Disease Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.