Cardiologists of Clark & Champaign Counties

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES

Practice address

900 E Court St
Urbana, OH 43078-1887

Phone

(937) 653-8897

Fax

(937) 653-7261

NPI assigned

Oct 15, 2007

Organization subpart

Yes

Parent organization

CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIESAs reported in NPPES

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

Authorized official

Name

Ms. Susan Kae Gabbard, CPC

Title

Billing Supervisor

Phone

(937) 323-5064

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

Cardio of Clark Champ

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1952590036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051227",
            "telephone_number": "937-323-5064",
            "fax_number": "937-323-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E COURT ST",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430781887",
            "telephone_number": "937-653-8897",
            "fax_number": "937-653-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARDIOLOGISTS OF CLARK & CHAMPAIGN COUNTIES",
        "enumeration_date": "2007-10-15",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "GABBARD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "937-323-5064",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0942412",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM7602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Calhoun
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• Jonna Callison
• Jill R Campbell
• Trinity Caraway
• Amy Danielle Carlson
• Ashley Nicole Carter
• Brianne Castle
• Cheyenne Casto
• Jason Rex Casto

• Cardiovascular Disease Physician in Urbana, OH
• Providers in Urbana, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.