Terre Haute Heart Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

50002041A Issued in IN

Legal business name

TERRE HAUTE HEART CENTER, INC

Practice address

455 E Hospital LN
Terre Haute, IN 47802-4245

Phone

(812) 238-1521

Fax

(812) 232-6335

NPI assigned

Feb 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Primo A Andres Jr., MD

Title

Ceo/Physician

Phone

(812) 238-1521

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruben Belisario Gonzales, M.D.

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1609974922
  NPD (past)
• Camillo M Mendoza, MD

  • Internal Medicine Physician
  • Brazil, IN
  • NPI 1023081395
  NPD (past)
• Freya G Paje, MD

  • Legal Medicine
  • Brazil, IN
  • NPI 1700859089
  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1972576262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E HOSPITAL LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024245",
            "telephone_number": "812-238-1521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E HOSPITAL LN",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024245",
            "telephone_number": "812-238-1521",
            "fax_number": "812-232-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRE HAUTE HEART CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "ANDRES",
        "authorized_official_first_name": "PRIMO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "812-238-1521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IN",
            "license": "50002041A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060013598",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terre Haute Aal LP
• Terre Haute Anesthesiology LLC
• Terre Haute Counseling Services, LLC
• Terre Haute Endocrinology and Diabetes LLC
• Terre Haute Endodontics PC
• Terre Haute Heart Lung Vascular Asso LLC
• Terre Haute Home Health Care Products Inc
• Terre Haute Medical Corporation, PC
• Terre Haute Medical Laboratory, Inc
• Terre Haute Neurosurgical & Spine Clinic, LLC

• Ambulatory Surgical Clinic/Center in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

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