Cardiovascular Medicine PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

CARDIOVASCULAR MEDICINE PLLC

Practice address

1236 E. Rusholme Street
Suite 300
Davenport, IA 52803

Phone

(563) 324-2992

Fax

(563) 888-0499

NPI assigned

Jun 29, 2006

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edmund P Coyne, M.D.NPI 1114906138

Title

President

Phone

(563) 324-2992

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 74

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.

• Edmund P Coyne, M.D.

  • Cardiovascular Disease Physician
  • Davenport, IA
  • NPI 1114906138

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Waseem Ahmad, MD

  • Neurology Physician
  • Davenport, IA
  • NPI 1124063375

  IL

  Medicare reassignment Care Compare group NPD
• Amit Bahia, MD

  • Interventional Cardiology Physician
  • Davenport, IA
  • NPI 1326010190

  IL

  Medicare reassignment Care Compare group NPD
• Cynthia D Burkholder, ARNP

  • Acute Care Nurse Practitioner
  • Davenport, IA
  • NPI 1760792683
  Medicare reassignment Care Compare group NPD
• Nilarun Chowdhuri, MD

  • Clinical Cardiac Electrophysiology Physician
  • Davenport, IA
  • NPI 1104278878
  Medicare reassignment Care Compare group NPD
• Judith A Deckert, A.R.N.P.

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1548249352
  Medicare reassignment Care Compare group NPD
• Shawna Kaye Duske, ACNP

  • Acute Care Nurse Practitioner
  • Davenport, IA
  • NPI 1104936087
  Medicare reassignment Care Compare group NPD
• Michael Joseph Gimbel III, M.D.

  • Cardiovascular Disease Physician
  • Davenport, IA
  • NPI 1871687087

  IL

  Medicare reassignment Care Compare group NPD
• Srikanth Reddy Kasula, M.D

  • Interventional Cardiology Physician
  • Davenport, IA
  • NPI 1497080709

  Cardiovascular Disease, IL

  Medicare reassignment Care Compare group NPD
• Michelle Lake

  • Acute Care Nurse Practitioner
  • Davenport, IA
  • NPI 1033838826
  Medicare reassignment Care Compare group NPD
• Shannon M Mentzer, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1184957839
  Medicare reassignment Care Compare group NPD
• Christina Nelson, ARNP

  • Family Nurse Practitioner
  • Davenport, IA
  • NPI 1750656542

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1982632907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E. RUSHOLME STREET",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E. RUSHOLME STREET",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "52803",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "COYNE",
        "authorized_official_first_name": "EDMUND",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-324-2992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbi Lynn Cantu
• Jenna Capesius, LMSW
• Jillian Cappaert, DPT
• Kristilee Caryl Cappaert
• Anthony Joseph Carbone, MD, MPH
• Caring Communities Transportation LLC
• Beth Carlson, CNM
• Mikayla Ann Carlson
• Nicholas P. Carlson, ARNP
• Wayne Victor Carney, DC

• Cardiovascular Disease Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Cardiovascular Disease Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.