Cardiovascular Consultants of Kentucky, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35596 Issued in KY

Legal business name

CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC

Practice address

191 Wal Mart Way
Maysville, KY 41056-7518

Phone

(859) 744-0263

Fax

(859) 745-0836

NPI assigned

Nov 16, 2012

Last updated

Oct 16, 2015By 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

Dr. Mathew K Shotwell, M.D.

Title

Owner/Physician

Phone

(859) 744-0263

Specialties & licenses 3

Addresses

Other identifiers 2

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.

• Josh Utah Hill, PA-C

  • Physician Assistant
  • Cynthiana, KY
  • NPI 1427056167
  NPD (past)

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1902140791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 WAL MART WAY",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410567518",
            "telephone_number": "859-744-0263",
            "fax_number": "859-745-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WAL MART WAY",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410567518",
            "telephone_number": "859-744-0263",
            "fax_number": "859-745-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR CONSULTANTS OF KENTUCKY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "SHOTWELL",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "859-744-0263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007563",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "35596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0078741",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100240350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabatha Butler, MED
• Carol Buzzard, LPCC
• Willinda Sue Calvert, COTA/L
• Ignacio Felipe Calvo-Sainz, MD
• Mari Campbell, PTA
• Leigh Carney, CRNA
• Kaylee Carrington
• Sarah Marie Carver, DMD
• Kelly Case
• Stephen Rogers Caudill, BS, TCADC

• Cardiovascular Disease Physician in Maysville, KY
• Providers in Maysville, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.