NPIMap

Organization Active NPI

Lake Heart Center LLC

  • Interventional Cardiology Physician
  • Painesville, OH
National Provider Identifier
1922419142
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
LAKE HEART CENTER LLC
Practice address
124 Liberty St
Painesville, OH 44077-3362
Phone
(440) 321-9725
NPI assigned
May 9, 2014
Last updated
Apr 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Raj P Vallabhaneni, M.D.NPI 1124025804
Title
President
Phone
(440) 321-9725

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

124 Liberty St
Painesville, OH 44077-3362

Mailing address

124 Liberty St
Painesville, OH 44077-3362
Phone (440) 321-9725

National Provider Directory

National Provider Directory

Locations

124 Liberty St
Ste B
Painesville, OH 44077
Phone (216) 352-4956

Practitioners & affiliated clinicians

Practitioners 11

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": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1922419142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773362",
            "telephone_number": "440-321-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LIBERTY ST",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440773362",
            "telephone_number": "440-321-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE HEART CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "VALLABHANENI",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-321-9725",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Painesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.