Organization Active NPI

County Cardiology, Inc.

  • Interventional Cardiology Physician
  • Saint Louis, MO
National Provider Identifier
1962509992
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
COUNTY CARDIOLOGY, INC.
Practice address
10004 Kennerly Rd
Suite 247
Saint Louis, MO 63128-2141
Phone
(314) 849-5300
Fax
(314) 849-2014
NPI assigned
Sep 20, 2006
Last updated
Sep 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Paul H. Gibson, M.D.NPI 1013909613
Title
Owner, Sole Proprietor
Phone
(314) 849-5300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

10004 Kennerly Rd
Suite 247
Saint Louis, MO 63128-2141

Mailing address

10004 Kennerly Rd
Suite 247
Saint Louis, MO 63128-2141
Phone (314) 849-5300

National Provider Directory

National Provider Directory

Locations

10004 Kennerly Rd
Ste 247
Saint Louis, MO 63128
Phone (314) 525-1939

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1962509992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 247",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-849-5300",
            "fax_number": "314-849-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD",
            "address_2": "SUITE 247",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282141",
            "telephone_number": "314-849-5300",
            "fax_number": "314-849-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER, SOLE PROPRIETOR",
        "authorized_official_telephone_number": "314-849-5300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.