Active NPI
Pediatric Heartcare Partners PSC
- Pediatric Cardiology Physician
- Louisville, KY
National Provider Identifier
1922143122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- 26152
- Legal business name
- PEDIATRIC HEARTCARE PARTNERS PSC
- Practice address
- 916 Dupont Rad
Louisville, KY 40207 - Phone
- (502) 454-7107
- Fax
- (502) 454-0347
- NPI assigned
- Feb 21, 2007
- Last updated
- Dec 5, 2011
- 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
- James W Boone, MD
- Title
- Vice President
- Phone
- (502) 454-7107
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 27208 | KY | |
| Pediatric Cardiology Physician | 2080P0202X | 34007 | KY | |
| Pediatric Cardiology Physician | 2080P0202X | 41558 | KY | |
| Pediatric Cardiology Physician | 2080P0202X | 26152 | KY | Primary |
Addresses
Primary practice location
916 Dupont Rad
Louisville, KY 40207
Mailing address
916 Dupont Road
Louisville, KY 40207
Phone (502) 454-7107
National Provider Directory
National Provider DirectoryLocations
916 DuPont Rd
Louisville, KY 40207
Phone (502) 454-7107
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.
-
- Pediatric Cardiology Physician
- Lou, KY
- NPI 1992754006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1922143122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 DUPONT ROAD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-454-7107",
"fax_number": "502-454-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 DUPONT RAD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40207",
"telephone_number": "502-454-7107",
"fax_number": "502-454-0347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC HEARTCARE PARTNERS PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "502-454-7107",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "27208",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "34007",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "41558",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "KY",
"license": "26152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Pediatric Associates of Louisville, PLLC
- Pediatric Associates of Louisville, PLLC
- Pediatric Cardiology Associates
- Pediatric Dental Group of Louisville
- Pediatric Gastroenterology PSC
- Pediatric Hematology-Oncology Specialists, PSC
- Pediatric Hematology/Oncology Specialists
- Pediatric Hematology/Oncology Specialists, PSC
- Pediatric Partners of Jeffersontown
- Pediatric Prompt Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.