Organization Active NPI

Cardiac Center

  • Cardiovascular Disease Physician
  • Murfreesboro, TN
National Provider Identifier
1972638807
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIAC CENTER
Practice address
507 N University St
Murfreesboro, TN 37130-3011
Phone
(615) 895-1301
Fax
(615) 849-1543
NPI assigned
Feb 22, 2007
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Vickie Smith
Title
Front Office Manager
Phone
(615) 895-1301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

507 N University St
Murfreesboro, TN 37130-3011

Mailing address

507 N University St
Murfreesboro, TN 37130-3011

Other identifiers 2

IdentifierTypeStateIssuer
3889655MedicaidTN
3091515MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1972638807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N UNIVERSITY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N UNIVERSITY ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371303011",
            "telephone_number": "615-895-1301",
            "fax_number": "615-849-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIAC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "FRONT OFFICE MANAGER",
        "authorized_official_telephone_number": "615-895-1301"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3889655",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091515",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.