Active NPI
Northeast Cardiology PLLC
- Cardiovascular Disease Physician
- Louisville, KY
National Provider Identifier
1992246953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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 DirectoryNPI 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.