Organization Active NPI

Northeast Cardiology PLLC

  • Cardiovascular Disease Physician
  • Louisville, KY
National Provider Identifier
1992246953
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
NORTHEAST CARDIOLOGY PLLC
Practice address
1313 St.Anthony Place
Louisville, KY 40204-0130
Phone
(606) 682-0448
NPI assigned
Mar 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Nasir Gardezi
Title
Physician/Owner
Phone
(606) 682-0448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1313 St.Anthony Place
Louisville, KY 40204-0130

Mailing address

PO Box 130
Prospect, KY 40059-0130
Phone (606) 682-0448

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1992246953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400590130",
            "telephone_number": "606-682-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 ST.ANTHONY PLACE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402040130",
            "telephone_number": "606-682-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CARDIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "GARDEZI",
        "authorized_official_first_name": "NASIR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "606-682-0448"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.