NPIMap

Organization Active NPI

Comprehensive Cardiology Cons Inc

  • Cardiovascular Disease Physician
  • Cincinnati, OH
National Provider Identifier
1881875193
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
COMPREHENSIVE CARDIOLOGY CONS INC
Practice address
415 Straight St
Suite 210
Cincinnati, OH 45219-1060
Phone
(513) 872-5700
Fax
(513) 861-6980
NPI assigned
Nov 15, 2007
Last updated
Oct 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Mr. George Wietmarschen
Title
Ceo
Phone
(513) 872-5700

Specialties & licenses 1

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

Addresses

Primary practice location

415 Straight St
Suite 210
Cincinnati, OH 45219-1060

Mailing address

PO Box 691635
Cincinnati, OH 45269-1635
Phone (513) 872-5700

Other identifiers 8

IdentifierTypeStateIssuer
00342OtherKYMEDICARE
3690OtherKYMEDICARE
3692OtherKYMEDICARE
0262193MedicaidOH
65940835MedicaidKY
CC6065OtherRAILROAD MEDICARE
5348OtherKYMEDICARE
CC6066OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

10506 Montgomery Rd
Ste G103
Montgomery, OH 45242
Phone (513) 745-5120

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1881875193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691635",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452691635",
            "telephone_number": "513-872-5700",
            "fax_number": "513-861-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 STRAIGHT ST",
            "address_2": "SUITE 210",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452191060",
            "telephone_number": "513-872-5700",
            "fax_number": "513-861-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARDIOLOGY CONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "WIETMARSCHEN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-872-5700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00342",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3690",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "3692",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262193",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65940835",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6065",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5348",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.