Active NPI
Providence Cardiology Associates, PC
- Cardiovascular Disease Physician
- Washington, DC
National Provider Identifier
1972615656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PROVIDENCE CARDIOLOGY ASSOCIATES, PC
- Practice address
- 1150 Varnum St NE
Providence Hospital
Washington, DC 20017 - Phone
- (202) 269-7118
- NPI assigned
- Aug 31, 2006
- 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
- Mrs. Lois I Williams
- Title
- Billing Manager
- Phone
- (301) 220-0150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1150 Varnum St NE
Providence Hospital
Washington, DC 20017
Mailing address
4700 Berwyn House Rd
Suite 208
College Park, MD 20740
Phone (301) 220-0150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024607200 | Medicaid | DC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Washington, DC
- NPI 1407841448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220832000000",
"number": "1972615656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 BERWYN HOUSE RD",
"address_2": "SUITE 208",
"city": "COLLEGE PARK",
"state": "MD",
"postal_code": "20740",
"telephone_number": "301-220-0150",
"fax_number": "301-220-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 VARNUM ST NE",
"address_2": "PROVIDENCE HOSPITAL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20017",
"telephone_number": "202-269-7118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE CARDIOLOGY ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-09-08",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LOIS",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "301-220-0150",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024607200",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.